National Provider Identifier [NPI]: |
1780786277 |
Last Name Of The Provider |
MERTZ |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
215 S 1ST ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEHIGHTON |
Zip Code Of The Provider |
182352163 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
6831 |
Number Of Medicare Beneficiaries |
1171 |
Total Submitted Charge Amount |
319931.77 |
Total Medicare Allowed Amount |
253369.03 |
Total Medicare Payment Amount |
190129.98 |
Total Medicare Standardized Payment Amount |
199116.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
99 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
287.1 |
Total Drug Medicare AllowedAmount |
13.18 |
Total Drug Medicare PaymentAmount |
10.28 |
Total Drug Medicare Standardized Payment Amount |
10.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
6732 |
Number Of Medicare Beneficiaries With Medical Services |
1170 |
Total Medical Submitted Charge Amount |
319644.67 |
Total Medical Medicare Allowed Amount |
253355.85 |
Total Medical Medicare Payment Amount |
190119.7 |
Total Medical Medicare Standardized Payment Amount |
199106.42 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
259 |
Number Of Beneficiaries Age 75 to 84 |
374 |
Number Of Beneficiaries Age Greater 84 |
430 |
Number Of Female Beneficiaries |
771 |
Number Of Male Beneficiaries |
400 |
Number Of Non Hispanic White Beneficiaries |
1128 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
685 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
486 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
47 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
23 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9948 |