National Provider Identifier [NPI]: |
1861438111 |
Last Name Of The Provider |
DAGROSSA |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.P.M |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11220 NW 49TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CORAL SPRINGS |
Zip Code Of The Provider |
330762771 |
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 |
25 |
Number Of Services |
5291 |
Number Of Medicare Beneficiaries |
1361 |
Total Submitted Charge Amount |
279211.49 |
Total Medicare Allowed Amount |
240805.2 |
Total Medicare Payment Amount |
189246.1 |
Total Medicare Standardized Payment Amount |
204140.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
5291 |
Number Of Medicare Beneficiaries With Medical Services |
1361 |
Total Medical Submitted Charge Amount |
279211.49 |
Total Medical Medicare Allowed Amount |
240805.2 |
Total Medical Medicare Payment Amount |
189246.1 |
Total Medical Medicare Standardized Payment Amount |
204140.58 |
Average Age Of Beneficiaries |
83 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
170 |
Number Of Beneficiaries Age 75 to 84 |
348 |
Number Of Beneficiaries Age Greater 84 |
764 |
Number Of Female Beneficiaries |
908 |
Number Of Male Beneficiaries |
453 |
Number Of Non Hispanic White Beneficiaries |
1072 |
Number Of Black or African American Beneficiaries |
162 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
101 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
902 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
459 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
55 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.3028 |