National Provider Identifier [NPI]: |
1154363984 |
Last Name Of The Provider |
CACHIA |
First Name Of The Provider |
VICTOR |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
26732 CROWN VALLEY PKWY |
Street Address 2 Of The Provider |
317 |
City Of The Provider |
MISSION VIEJO |
Zip Code Of The Provider |
926916306 |
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 |
69 |
Number Of Services |
1786 |
Number Of Medicare Beneficiaries |
298 |
Total Submitted Charge Amount |
377759 |
Total Medicare Allowed Amount |
139810.08 |
Total Medicare Payment Amount |
103705.6 |
Total Medicare Standardized Payment Amount |
92285.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
143 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
2145 |
Total Drug Medicare AllowedAmount |
814.82 |
Total Drug Medicare PaymentAmount |
631.59 |
Total Drug Medicare Standardized Payment Amount |
631.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
1643 |
Number Of Medicare Beneficiaries With Medical Services |
298 |
Total Medical Submitted Charge Amount |
375614 |
Total Medical Medicare Allowed Amount |
138995.26 |
Total Medical Medicare Payment Amount |
103074.01 |
Total Medical Medicare Standardized Payment Amount |
91653.95 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
176 |
Number Of Beneficiaries Age 75 to 84 |
85 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
186 |
Number Of Male Beneficiaries |
112 |
Number Of Non Hispanic White Beneficiaries |
267 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
284 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0267 |