National Provider Identifier [NPI]: |
1124005996 |
Last Name Of The Provider |
KREAMER |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
804 GRANDVIEW DR |
Street Address 2 Of The Provider |
STE 1 |
City Of The Provider |
EPHRATA |
Zip Code Of The Provider |
175221635 |
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 |
39 |
Number Of Services |
5092 |
Number Of Medicare Beneficiaries |
805 |
Total Submitted Charge Amount |
296169 |
Total Medicare Allowed Amount |
238076.68 |
Total Medicare Payment Amount |
166975.48 |
Total Medicare Standardized Payment Amount |
177228.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
76 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
112 |
Total Drug Medicare AllowedAmount |
39.49 |
Total Drug Medicare PaymentAmount |
31.01 |
Total Drug Medicare Standardized Payment Amount |
31.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
5016 |
Number Of Medicare Beneficiaries With Medical Services |
805 |
Total Medical Submitted Charge Amount |
296057 |
Total Medical Medicare Allowed Amount |
238037.19 |
Total Medical Medicare Payment Amount |
166944.47 |
Total Medical Medicare Standardized Payment Amount |
177197.58 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
143 |
Number Of Beneficiaries Age 75 to 84 |
253 |
Number Of Beneficiaries Age Greater 84 |
360 |
Number Of Female Beneficiaries |
511 |
Number Of Male Beneficiaries |
294 |
Number Of Non Hispanic White Beneficiaries |
792 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
722 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5799 |