National Provider Identifier [NPI]: |
1588663470 |
Last Name Of The Provider |
GOYKHMAN |
First Name Of The Provider |
GARY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DPM P A |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11801 SW 90TH ST |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
331862182 |
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 |
75 |
Number Of Services |
5454 |
Number Of Medicare Beneficiaries |
1540 |
Total Submitted Charge Amount |
835069.52 |
Total Medicare Allowed Amount |
436374.94 |
Total Medicare Payment Amount |
338970.1 |
Total Medicare Standardized Payment Amount |
314026.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
155 |
Number Of Medicare Beneficiaries With Drug Services |
151 |
Total Drug Submitted ChargeAmount |
1288 |
Total Drug Medicare AllowedAmount |
882.7 |
Total Drug Medicare PaymentAmount |
692.17 |
Total Drug Medicare Standardized Payment Amount |
692.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
5299 |
Number Of Medicare Beneficiaries With Medical Services |
1540 |
Total Medical Submitted Charge Amount |
833781.52 |
Total Medical Medicare Allowed Amount |
435492.24 |
Total Medical Medicare Payment Amount |
338277.93 |
Total Medical Medicare Standardized Payment Amount |
313334.08 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
308 |
Number Of Beneficiaries Age 75 to 84 |
515 |
Number Of Beneficiaries Age Greater 84 |
565 |
Number Of Female Beneficiaries |
1061 |
Number Of Male Beneficiaries |
479 |
Number Of Non Hispanic White Beneficiaries |
141 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1366 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
184 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1356 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
66 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
65 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
31 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.0819 |