National Provider Identifier [NPI]: |
1336272699 |
Last Name Of The Provider |
CHRZAN |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
28 PACIFIC ST. |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCKLAND |
Zip Code Of The Provider |
02370 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
9670 |
Number Of Medicare Beneficiaries |
1631 |
Total Submitted Charge Amount |
1517118 |
Total Medicare Allowed Amount |
747679.08 |
Total Medicare Payment Amount |
553718.85 |
Total Medicare Standardized Payment Amount |
539712.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
33 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
1125 |
Total Drug Medicare AllowedAmount |
85.56 |
Total Drug Medicare PaymentAmount |
67.15 |
Total Drug Medicare Standardized Payment Amount |
67.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
9637 |
Number Of Medicare Beneficiaries With Medical Services |
1631 |
Total Medical Submitted Charge Amount |
1515993 |
Total Medical Medicare Allowed Amount |
747593.52 |
Total Medical Medicare Payment Amount |
553651.7 |
Total Medical Medicare Standardized Payment Amount |
539645.27 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
176 |
Number Of Beneficiaries Age 65 to 74 |
573 |
Number Of Beneficiaries Age 75 to 84 |
556 |
Number Of Beneficiaries Age Greater 84 |
326 |
Number Of Female Beneficiaries |
873 |
Number Of Male Beneficiaries |
758 |
Number Of Non Hispanic White Beneficiaries |
1562 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1377 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
254 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6432 |