National Provider Identifier [NPI]: |
1982701272 |
Last Name Of The Provider |
BYRNE |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1551 BISHOP ST STE B210 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN LUIS OBISPO |
Zip Code Of The Provider |
934014635 |
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 |
67 |
Number Of Services |
4564 |
Number Of Medicare Beneficiaries |
1213 |
Total Submitted Charge Amount |
450079 |
Total Medicare Allowed Amount |
327921.37 |
Total Medicare Payment Amount |
239830.59 |
Total Medicare Standardized Payment Amount |
230151.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
404 |
Number Of Medicare Beneficiaries With Drug Services |
145 |
Total Drug Submitted ChargeAmount |
6060 |
Total Drug Medicare AllowedAmount |
387.29 |
Total Drug Medicare PaymentAmount |
283.33 |
Total Drug Medicare Standardized Payment Amount |
283.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
4160 |
Number Of Medicare Beneficiaries With Medical Services |
1213 |
Total Medical Submitted Charge Amount |
444019 |
Total Medical Medicare Allowed Amount |
327534.08 |
Total Medical Medicare Payment Amount |
239547.26 |
Total Medical Medicare Standardized Payment Amount |
229868.54 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
577 |
Number Of Beneficiaries Age 75 to 84 |
351 |
Number Of Beneficiaries Age Greater 84 |
164 |
Number Of Female Beneficiaries |
711 |
Number Of Male Beneficiaries |
502 |
Number Of Non Hispanic White Beneficiaries |
1094 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
73 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1072 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
141 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1689 |