National Provider Identifier [NPI]: |
1235463001 |
Last Name Of The Provider |
FLOYD |
First Name Of The Provider |
SHANNON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11834 COUNTY ROAD 101 |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
LADY LAKE |
Zip Code Of The Provider |
321629340 |
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 |
68 |
Number Of Services |
3079 |
Number Of Medicare Beneficiaries |
795 |
Total Submitted Charge Amount |
435388.14 |
Total Medicare Allowed Amount |
236117.55 |
Total Medicare Payment Amount |
183199.01 |
Total Medicare Standardized Payment Amount |
184193.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
117 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
5282 |
Total Drug Medicare AllowedAmount |
3413.62 |
Total Drug Medicare PaymentAmount |
2673.77 |
Total Drug Medicare Standardized Payment Amount |
2673.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
2962 |
Number Of Medicare Beneficiaries With Medical Services |
795 |
Total Medical Submitted Charge Amount |
430106.14 |
Total Medical Medicare Allowed Amount |
232703.93 |
Total Medical Medicare Payment Amount |
180525.24 |
Total Medical Medicare Standardized Payment Amount |
181519.45 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
365 |
Number Of Beneficiaries Age 75 to 84 |
284 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
428 |
Number Of Male Beneficiaries |
367 |
Number Of Non Hispanic White Beneficiaries |
747 |
Number Of Black or African American Beneficiaries |
27 |
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 |
720 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
75 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4551 |