National Provider Identifier [NPI]: |
1174563076 |
Last Name Of The Provider |
HARTUNG |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1431 WASHINGTON BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WILLIAMSPORT |
Zip Code Of The Provider |
177015424 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
4818 |
Number Of Medicare Beneficiaries |
1364 |
Total Submitted Charge Amount |
378430 |
Total Medicare Allowed Amount |
229405.8 |
Total Medicare Payment Amount |
164464.82 |
Total Medicare Standardized Payment Amount |
171608.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
11 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
110 |
Total Drug Medicare AllowedAmount |
1.48 |
Total Drug Medicare PaymentAmount |
1.19 |
Total Drug Medicare Standardized Payment Amount |
1.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
4807 |
Number Of Medicare Beneficiaries With Medical Services |
1364 |
Total Medical Submitted Charge Amount |
378320 |
Total Medical Medicare Allowed Amount |
229404.32 |
Total Medical Medicare Payment Amount |
164463.63 |
Total Medical Medicare Standardized Payment Amount |
171607.78 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
217 |
Number Of Beneficiaries Age 65 to 74 |
313 |
Number Of Beneficiaries Age 75 to 84 |
325 |
Number Of Beneficiaries Age Greater 84 |
509 |
Number Of Female Beneficiaries |
906 |
Number Of Male Beneficiaries |
458 |
Number Of Non Hispanic White Beneficiaries |
1293 |
Number Of Black or African American Beneficiaries |
55 |
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 |
676 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
688 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7935 |