National Provider Identifier [NPI]: |
1306841119 |
Last Name Of The Provider |
TORRES |
First Name Of The Provider |
VICTOR |
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 |
910 MOUNT HOMER RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
EUSTIS |
Zip Code Of The Provider |
327266258 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
4142 |
Number Of Medicare Beneficiaries |
965 |
Total Submitted Charge Amount |
723272 |
Total Medicare Allowed Amount |
300914.4 |
Total Medicare Payment Amount |
220935.74 |
Total Medicare Standardized Payment Amount |
221079.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
38 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
570 |
Total Drug Medicare AllowedAmount |
216.71 |
Total Drug Medicare PaymentAmount |
169.92 |
Total Drug Medicare Standardized Payment Amount |
169.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
4104 |
Number Of Medicare Beneficiaries With Medical Services |
965 |
Total Medical Submitted Charge Amount |
722702 |
Total Medical Medicare Allowed Amount |
300697.69 |
Total Medical Medicare Payment Amount |
220765.82 |
Total Medical Medicare Standardized Payment Amount |
220910.07 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
346 |
Number Of Beneficiaries Age 75 to 84 |
368 |
Number Of Beneficiaries Age Greater 84 |
180 |
Number Of Female Beneficiaries |
533 |
Number Of Male Beneficiaries |
432 |
Number Of Non Hispanic White Beneficiaries |
891 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
864 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
101 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6263 |