National Provider Identifier [NPI]: |
1487754750 |
Last Name Of The Provider |
BAILEY |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
DPM, INC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 WEST OLIVE AVE |
Street Address 2 Of The Provider |
SUITE #C |
City Of The Provider |
MERCED |
Zip Code Of The Provider |
95348 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
6135 |
Number Of Medicare Beneficiaries |
874 |
Total Submitted Charge Amount |
356468.6 |
Total Medicare Allowed Amount |
287516.08 |
Total Medicare Payment Amount |
204652.45 |
Total Medicare Standardized Payment Amount |
195122.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
96 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
1798.6 |
Total Drug Medicare AllowedAmount |
942.32 |
Total Drug Medicare PaymentAmount |
738.68 |
Total Drug Medicare Standardized Payment Amount |
738.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
6039 |
Number Of Medicare Beneficiaries With Medical Services |
874 |
Total Medical Submitted Charge Amount |
354670 |
Total Medical Medicare Allowed Amount |
286573.76 |
Total Medical Medicare Payment Amount |
203913.77 |
Total Medical Medicare Standardized Payment Amount |
194384.25 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
311 |
Number Of Beneficiaries Age 75 to 84 |
290 |
Number Of Beneficiaries Age Greater 84 |
183 |
Number Of Female Beneficiaries |
508 |
Number Of Male Beneficiaries |
366 |
Number Of Non Hispanic White Beneficiaries |
532 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
248 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
632 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
242 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6461 |