National Provider Identifier [NPI]: |
1285668343 |
Last Name Of The Provider |
ALBRECHT |
First Name Of The Provider |
LARRY |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8579 COMMERCE DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
EASTON |
Zip Code Of The Provider |
216017491 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
3935 |
Number Of Medicare Beneficiaries |
730 |
Total Submitted Charge Amount |
361480.5 |
Total Medicare Allowed Amount |
212538.44 |
Total Medicare Payment Amount |
155589.48 |
Total Medicare Standardized Payment Amount |
152460.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
124 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
1580 |
Total Drug Medicare AllowedAmount |
236.91 |
Total Drug Medicare PaymentAmount |
176.12 |
Total Drug Medicare Standardized Payment Amount |
176.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
3811 |
Number Of Medicare Beneficiaries With Medical Services |
730 |
Total Medical Submitted Charge Amount |
359900.5 |
Total Medical Medicare Allowed Amount |
212301.53 |
Total Medical Medicare Payment Amount |
155413.36 |
Total Medical Medicare Standardized Payment Amount |
152284.07 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
297 |
Number Of Beneficiaries Age 75 to 84 |
263 |
Number Of Beneficiaries Age Greater 84 |
118 |
Number Of Female Beneficiaries |
425 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
632 |
Number Of Black or African American Beneficiaries |
75 |
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 |
650 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2791 |