National Provider Identifier [NPI]: |
1447412416 |
Last Name Of The Provider |
MILLIRON |
First Name Of The Provider |
HILAREE |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1890 LPGA BLVD |
Street Address 2 Of The Provider |
SUITE 230 |
City Of The Provider |
DAYTONA BEACH |
Zip Code Of The Provider |
321177130 |
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 |
50 |
Number Of Services |
2310 |
Number Of Medicare Beneficiaries |
781 |
Total Submitted Charge Amount |
145245.57 |
Total Medicare Allowed Amount |
131239.66 |
Total Medicare Payment Amount |
102458.34 |
Total Medicare Standardized Payment Amount |
103235.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
180 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
636 |
Total Drug Medicare AllowedAmount |
274.28 |
Total Drug Medicare PaymentAmount |
214.86 |
Total Drug Medicare Standardized Payment Amount |
214.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2130 |
Number Of Medicare Beneficiaries With Medical Services |
781 |
Total Medical Submitted Charge Amount |
144609.57 |
Total Medical Medicare Allowed Amount |
130965.38 |
Total Medical Medicare Payment Amount |
102243.48 |
Total Medical Medicare Standardized Payment Amount |
103020.78 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
228 |
Number Of Beneficiaries Age 75 to 84 |
275 |
Number Of Beneficiaries Age Greater 84 |
236 |
Number Of Female Beneficiaries |
368 |
Number Of Male Beneficiaries |
413 |
Number Of Non Hispanic White Beneficiaries |
678 |
Number Of Black or African American Beneficiaries |
71 |
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 |
719 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6087 |