National Provider Identifier [NPI]: |
1346245230 |
Last Name Of The Provider |
MORSE |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3301 NEW MEXICO AVE NW |
Street Address 2 Of The Provider |
STE 228 |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200163610 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
3453 |
Number Of Medicare Beneficiaries |
695 |
Total Submitted Charge Amount |
334188 |
Total Medicare Allowed Amount |
241925.39 |
Total Medicare Payment Amount |
178257.89 |
Total Medicare Standardized Payment Amount |
156622.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
103 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
9820 |
Total Drug Medicare AllowedAmount |
4884.71 |
Total Drug Medicare PaymentAmount |
3829.71 |
Total Drug Medicare Standardized Payment Amount |
3829.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
3350 |
Number Of Medicare Beneficiaries With Medical Services |
695 |
Total Medical Submitted Charge Amount |
324368 |
Total Medical Medicare Allowed Amount |
237040.68 |
Total Medical Medicare Payment Amount |
174428.18 |
Total Medical Medicare Standardized Payment Amount |
152792.92 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
261 |
Number Of Beneficiaries Age 75 to 84 |
240 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
404 |
Number Of Male Beneficiaries |
291 |
Number Of Non Hispanic White Beneficiaries |
484 |
Number Of Black or African American Beneficiaries |
164 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
625 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1583 |