National Provider Identifier [NPI]: |
1427032382 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
DARLA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1018 N SUSQUEHANNA TRL |
Street Address 2 Of The Provider |
|
City Of The Provider |
SELINSGROVE |
Zip Code Of The Provider |
178707767 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
3626 |
Number Of Medicare Beneficiaries |
607 |
Total Submitted Charge Amount |
249795.6 |
Total Medicare Allowed Amount |
146026.7 |
Total Medicare Payment Amount |
106405.01 |
Total Medicare Standardized Payment Amount |
107902.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
53.6 |
Total Drug Medicare AllowedAmount |
46.61 |
Total Drug Medicare PaymentAmount |
35.11 |
Total Drug Medicare Standardized Payment Amount |
35.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
3599 |
Number Of Medicare Beneficiaries With Medical Services |
607 |
Total Medical Submitted Charge Amount |
249742 |
Total Medical Medicare Allowed Amount |
145980.09 |
Total Medical Medicare Payment Amount |
106369.9 |
Total Medical Medicare Standardized Payment Amount |
107867.35 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
176 |
Number Of Beneficiaries Age 75 to 84 |
191 |
Number Of Beneficiaries Age Greater 84 |
172 |
Number Of Female Beneficiaries |
389 |
Number Of Male Beneficiaries |
218 |
Number Of Non Hispanic White Beneficiaries |
596 |
Number Of Black or African American Beneficiaries |
|
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 |
367 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
240 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8118 |