National Provider Identifier [NPI]: |
1578654604 |
Last Name Of The Provider |
HOGGE |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
209 N 6TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
INDEPENDENCE |
Zip Code Of The Provider |
673013100 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
3222 |
Number Of Medicare Beneficiaries |
771 |
Total Submitted Charge Amount |
352785 |
Total Medicare Allowed Amount |
224669.9 |
Total Medicare Payment Amount |
163529.59 |
Total Medicare Standardized Payment Amount |
176652.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
285 |
Total Drug Medicare AllowedAmount |
89.59 |
Total Drug Medicare PaymentAmount |
69.2 |
Total Drug Medicare Standardized Payment Amount |
69.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
3195 |
Number Of Medicare Beneficiaries With Medical Services |
771 |
Total Medical Submitted Charge Amount |
352500 |
Total Medical Medicare Allowed Amount |
224580.31 |
Total Medical Medicare Payment Amount |
163460.39 |
Total Medical Medicare Standardized Payment Amount |
176583.04 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
242 |
Number Of Beneficiaries Age 75 to 84 |
249 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
460 |
Number Of Male Beneficiaries |
311 |
Number Of Non Hispanic White Beneficiaries |
703 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
545 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
226 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4554 |