National Provider Identifier [NPI]: |
1346233541 |
Last Name Of The Provider |
DONOHOE |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
250 S CRESCENT DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MASON CITY |
Zip Code Of The Provider |
504012926 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
5024 |
Number Of Medicare Beneficiaries |
1229 |
Total Submitted Charge Amount |
615182.25 |
Total Medicare Allowed Amount |
240160.09 |
Total Medicare Payment Amount |
165157.03 |
Total Medicare Standardized Payment Amount |
180139.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
458 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
1374 |
Total Drug Medicare AllowedAmount |
816.97 |
Total Drug Medicare PaymentAmount |
577.67 |
Total Drug Medicare Standardized Payment Amount |
577.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
4566 |
Number Of Medicare Beneficiaries With Medical Services |
1229 |
Total Medical Submitted Charge Amount |
613808.25 |
Total Medical Medicare Allowed Amount |
239343.12 |
Total Medical Medicare Payment Amount |
164579.36 |
Total Medical Medicare Standardized Payment Amount |
179562.31 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
310 |
Number Of Beneficiaries Age 75 to 84 |
414 |
Number Of Beneficiaries Age Greater 84 |
394 |
Number Of Female Beneficiaries |
741 |
Number Of Male Beneficiaries |
488 |
Number Of Non Hispanic White Beneficiaries |
1211 |
Number Of Black or African American Beneficiaries |
|
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 |
962 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
267 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.4117 |