National Provider Identifier [NPI]: |
1285728527 |
Last Name Of The Provider |
ROITH |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10600 QUIVIRA RD. |
Street Address 2 Of The Provider |
SUITE 220 |
City Of The Provider |
OVERLAND PARK |
Zip Code Of The Provider |
662152314 |
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 |
63 |
Number Of Services |
2659 |
Number Of Medicare Beneficiaries |
517 |
Total Submitted Charge Amount |
206306 |
Total Medicare Allowed Amount |
148588.78 |
Total Medicare Payment Amount |
106644.71 |
Total Medicare Standardized Payment Amount |
115225.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
96 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
3448 |
Total Drug Medicare AllowedAmount |
1336.44 |
Total Drug Medicare PaymentAmount |
1045.58 |
Total Drug Medicare Standardized Payment Amount |
1045.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
2563 |
Number Of Medicare Beneficiaries With Medical Services |
517 |
Total Medical Submitted Charge Amount |
202858 |
Total Medical Medicare Allowed Amount |
147252.34 |
Total Medical Medicare Payment Amount |
105599.13 |
Total Medical Medicare Standardized Payment Amount |
114179.96 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
170 |
Number Of Beneficiaries Age 75 to 84 |
165 |
Number Of Beneficiaries Age Greater 84 |
139 |
Number Of Female Beneficiaries |
291 |
Number Of Male Beneficiaries |
226 |
Number Of Non Hispanic White Beneficiaries |
486 |
Number Of Black or African American Beneficiaries |
16 |
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 |
470 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5766 |