National Provider Identifier [NPI]: |
1700884269 |
Last Name Of The Provider |
ZINDEL |
First Name Of The Provider |
SCOT |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2129 LAKESIDE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LYNCHBURG |
Zip Code Of The Provider |
245016803 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
4011 |
Number Of Medicare Beneficiaries |
1442 |
Total Submitted Charge Amount |
297494 |
Total Medicare Allowed Amount |
246243.66 |
Total Medicare Payment Amount |
167964.83 |
Total Medicare Standardized Payment Amount |
172489.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
43 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
602 |
Total Drug Medicare AllowedAmount |
30.36 |
Total Drug Medicare PaymentAmount |
23.85 |
Total Drug Medicare Standardized Payment Amount |
23.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
3968 |
Number Of Medicare Beneficiaries With Medical Services |
1442 |
Total Medical Submitted Charge Amount |
296892 |
Total Medical Medicare Allowed Amount |
246213.3 |
Total Medical Medicare Payment Amount |
167940.98 |
Total Medical Medicare Standardized Payment Amount |
172465.34 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
527 |
Number Of Beneficiaries Age 75 to 84 |
549 |
Number Of Beneficiaries Age Greater 84 |
313 |
Number Of Female Beneficiaries |
855 |
Number Of Male Beneficiaries |
587 |
Number Of Non Hispanic White Beneficiaries |
1227 |
Number Of Black or African American Beneficiaries |
193 |
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 |
1368 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3155 |