National Provider Identifier [NPI]: |
1952362253 |
Last Name Of The Provider |
GUNZY |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6116 E. ARBOR AVE |
Street Address 2 Of The Provider |
SUITE 118 |
City Of The Provider |
MESA |
Zip Code Of The Provider |
852065235 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
4250 |
Number Of Medicare Beneficiaries |
835 |
Total Submitted Charge Amount |
482028.01 |
Total Medicare Allowed Amount |
289680.93 |
Total Medicare Payment Amount |
213606.69 |
Total Medicare Standardized Payment Amount |
217132.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
236 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
1127 |
Total Drug Medicare AllowedAmount |
242.15 |
Total Drug Medicare PaymentAmount |
190.12 |
Total Drug Medicare Standardized Payment Amount |
190.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
4014 |
Number Of Medicare Beneficiaries With Medical Services |
835 |
Total Medical Submitted Charge Amount |
480901.01 |
Total Medical Medicare Allowed Amount |
289438.78 |
Total Medical Medicare Payment Amount |
213416.57 |
Total Medical Medicare Standardized Payment Amount |
216942.87 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
339 |
Number Of Beneficiaries Age 75 to 84 |
311 |
Number Of Beneficiaries Age Greater 84 |
143 |
Number Of Female Beneficiaries |
456 |
Number Of Male Beneficiaries |
379 |
Number Of Non Hispanic White Beneficiaries |
770 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
792 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4529 |