National Provider Identifier [NPI]: |
1386734143 |
Last Name Of The Provider |
GRUBER |
First Name Of The Provider |
HAROLD |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2018 NAAMANS RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WILMINGTON |
Zip Code Of The Provider |
198102659 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
2943 |
Number Of Medicare Beneficiaries |
537 |
Total Submitted Charge Amount |
171921 |
Total Medicare Allowed Amount |
123121.09 |
Total Medicare Payment Amount |
86862.15 |
Total Medicare Standardized Payment Amount |
85409.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
94 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
466 |
Total Drug Medicare AllowedAmount |
165.8 |
Total Drug Medicare PaymentAmount |
119.31 |
Total Drug Medicare Standardized Payment Amount |
119.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
2849 |
Number Of Medicare Beneficiaries With Medical Services |
537 |
Total Medical Submitted Charge Amount |
171455 |
Total Medical Medicare Allowed Amount |
122955.29 |
Total Medical Medicare Payment Amount |
86742.84 |
Total Medical Medicare Standardized Payment Amount |
85290.3 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
159 |
Number Of Beneficiaries Age 75 to 84 |
182 |
Number Of Beneficiaries Age Greater 84 |
138 |
Number Of Female Beneficiaries |
324 |
Number Of Male Beneficiaries |
213 |
Number Of Non Hispanic White Beneficiaries |
439 |
Number Of Black or African American Beneficiaries |
77 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
450 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4106 |