National Provider Identifier [NPI]: |
1649378696 |
Last Name Of The Provider |
NORMAN |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2736 COLDSPRINGS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BEAVERCREEK |
Zip Code Of The Provider |
454346646 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
4665 |
Number Of Medicare Beneficiaries |
1223 |
Total Submitted Charge Amount |
210127.59 |
Total Medicare Allowed Amount |
190675.48 |
Total Medicare Payment Amount |
147587.31 |
Total Medicare Standardized Payment Amount |
153869.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
4665 |
Number Of Medicare Beneficiaries With Medical Services |
1223 |
Total Medical Submitted Charge Amount |
210127.59 |
Total Medical Medicare Allowed Amount |
190675.48 |
Total Medical Medicare Payment Amount |
147587.31 |
Total Medical Medicare Standardized Payment Amount |
153869.43 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
284 |
Number Of Beneficiaries Age Greater 84 |
639 |
Number Of Female Beneficiaries |
820 |
Number Of Male Beneficiaries |
403 |
Number Of Non Hispanic White Beneficiaries |
1071 |
Number Of Black or African American Beneficiaries |
133 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
557 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
666 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
61 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9738 |