National Provider Identifier [NPI]: |
1821076670 |
Last Name Of The Provider |
ZORRILLA |
First Name Of The Provider |
ORLANDO |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
323 W LAS TUNAS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN GABRIEL |
Zip Code Of The Provider |
917761212 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
2961 |
Number Of Medicare Beneficiaries |
482 |
Total Submitted Charge Amount |
242470 |
Total Medicare Allowed Amount |
182638.48 |
Total Medicare Payment Amount |
132065.21 |
Total Medicare Standardized Payment Amount |
122411.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
37 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
665 |
Total Drug Medicare AllowedAmount |
182.95 |
Total Drug Medicare PaymentAmount |
143.43 |
Total Drug Medicare Standardized Payment Amount |
143.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
2924 |
Number Of Medicare Beneficiaries With Medical Services |
482 |
Total Medical Submitted Charge Amount |
241805 |
Total Medical Medicare Allowed Amount |
182455.53 |
Total Medical Medicare Payment Amount |
131921.78 |
Total Medical Medicare Standardized Payment Amount |
122268.5 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
131 |
Number Of Beneficiaries Age 75 to 84 |
174 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
325 |
Number Of Male Beneficiaries |
157 |
Number Of Non Hispanic White Beneficiaries |
311 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
113 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
288 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
194 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4519 |