National Provider Identifier [NPI]: |
1285949420 |
Last Name Of The Provider |
CZYMBOR |
First Name Of The Provider |
STEVE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 15TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTH MILWAUKEE |
Zip Code Of The Provider |
531721160 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
2195 |
Number Of Medicare Beneficiaries |
791 |
Total Submitted Charge Amount |
470712 |
Total Medicare Allowed Amount |
132422.52 |
Total Medicare Payment Amount |
100084.77 |
Total Medicare Standardized Payment Amount |
104825.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
110 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
4468 |
Total Drug Medicare AllowedAmount |
2238.48 |
Total Drug Medicare PaymentAmount |
1755.01 |
Total Drug Medicare Standardized Payment Amount |
1755.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
2085 |
Number Of Medicare Beneficiaries With Medical Services |
791 |
Total Medical Submitted Charge Amount |
466244 |
Total Medical Medicare Allowed Amount |
130184.04 |
Total Medical Medicare Payment Amount |
98329.76 |
Total Medical Medicare Standardized Payment Amount |
103070.42 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
154 |
Number Of Beneficiaries Age 75 to 84 |
197 |
Number Of Beneficiaries Age Greater 84 |
346 |
Number Of Female Beneficiaries |
530 |
Number Of Male Beneficiaries |
261 |
Number Of Non Hispanic White Beneficiaries |
583 |
Number Of Black or African American Beneficiaries |
187 |
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 |
505 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
286 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7948 |