National Provider Identifier [NPI]: |
1588650063 |
Last Name Of The Provider |
PERSCHKE |
First Name Of The Provider |
TIMOTHY |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
104 TECHNOLOGY DR |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
BUTLER |
Zip Code Of The Provider |
160011801 |
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 |
58 |
Number Of Services |
3450 |
Number Of Medicare Beneficiaries |
553 |
Total Submitted Charge Amount |
215217 |
Total Medicare Allowed Amount |
149865.6 |
Total Medicare Payment Amount |
103799.5 |
Total Medicare Standardized Payment Amount |
109465.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
212 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
4240 |
Total Drug Medicare AllowedAmount |
28.38 |
Total Drug Medicare PaymentAmount |
20.19 |
Total Drug Medicare Standardized Payment Amount |
20.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
3238 |
Number Of Medicare Beneficiaries With Medical Services |
553 |
Total Medical Submitted Charge Amount |
210977 |
Total Medical Medicare Allowed Amount |
149837.22 |
Total Medical Medicare Payment Amount |
103779.31 |
Total Medical Medicare Standardized Payment Amount |
109445.24 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
151 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
213 |
Number Of Female Beneficiaries |
337 |
Number Of Male Beneficiaries |
216 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
501 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4281 |