National Provider Identifier [NPI]: |
1497796254 |
Last Name Of The Provider |
KULINA |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1532 SAVANNAH RD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
LEWES |
Zip Code Of The Provider |
199581624 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
10893 |
Number Of Medicare Beneficiaries |
1271 |
Total Submitted Charge Amount |
594074.5 |
Total Medicare Allowed Amount |
492790.01 |
Total Medicare Payment Amount |
375132.02 |
Total Medicare Standardized Payment Amount |
366860.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
555 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
1717.5 |
Total Drug Medicare AllowedAmount |
667.65 |
Total Drug Medicare PaymentAmount |
497.52 |
Total Drug Medicare Standardized Payment Amount |
497.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
10338 |
Number Of Medicare Beneficiaries With Medical Services |
1271 |
Total Medical Submitted Charge Amount |
592357 |
Total Medical Medicare Allowed Amount |
492122.36 |
Total Medical Medicare Payment Amount |
374634.5 |
Total Medical Medicare Standardized Payment Amount |
366363.03 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
450 |
Number Of Beneficiaries Age 75 to 84 |
465 |
Number Of Beneficiaries Age Greater 84 |
249 |
Number Of Female Beneficiaries |
754 |
Number Of Male Beneficiaries |
517 |
Number Of Non Hispanic White Beneficiaries |
1087 |
Number Of Black or African American Beneficiaries |
141 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1058 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
213 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5751 |