National Provider Identifier [NPI]: |
1811167125 |
Last Name Of The Provider |
MOYER |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3301 SUNSET AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCKY MOUNT |
Zip Code Of The Provider |
278043521 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
5808 |
Number Of Medicare Beneficiaries |
904 |
Total Submitted Charge Amount |
616483 |
Total Medicare Allowed Amount |
378483.34 |
Total Medicare Payment Amount |
278313.36 |
Total Medicare Standardized Payment Amount |
292744.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2125 |
Number Of Medicare Beneficiaries With Drug Services |
82 |
Total Drug Submitted ChargeAmount |
125524 |
Total Drug Medicare AllowedAmount |
73062.16 |
Total Drug Medicare PaymentAmount |
57251.12 |
Total Drug Medicare Standardized Payment Amount |
57251.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
3683 |
Number Of Medicare Beneficiaries With Medical Services |
904 |
Total Medical Submitted Charge Amount |
490959 |
Total Medical Medicare Allowed Amount |
305421.18 |
Total Medical Medicare Payment Amount |
221062.24 |
Total Medical Medicare Standardized Payment Amount |
235493.01 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
225 |
Number Of Beneficiaries Age 65 to 74 |
335 |
Number Of Beneficiaries Age 75 to 84 |
228 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
534 |
Number Of Male Beneficiaries |
370 |
Number Of Non Hispanic White Beneficiaries |
503 |
Number Of Black or African American Beneficiaries |
377 |
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 |
590 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
314 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7155 |