National Provider Identifier [NPI]: |
1306802921 |
Last Name Of The Provider |
ADLER |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1722 DEL PRADO BLVD S |
Street Address 2 Of The Provider |
SUITE 12 |
City Of The Provider |
CAPE CORAL |
Zip Code Of The Provider |
339905525 |
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 |
53 |
Number Of Services |
7263 |
Number Of Medicare Beneficiaries |
894 |
Total Submitted Charge Amount |
667698.27 |
Total Medicare Allowed Amount |
415909.82 |
Total Medicare Payment Amount |
302925.99 |
Total Medicare Standardized Payment Amount |
288440.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
327 |
Number Of Medicare Beneficiaries With Drug Services |
182 |
Total Drug Submitted ChargeAmount |
3246.57 |
Total Drug Medicare AllowedAmount |
1675.14 |
Total Drug Medicare PaymentAmount |
1244.18 |
Total Drug Medicare Standardized Payment Amount |
1244.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
6936 |
Number Of Medicare Beneficiaries With Medical Services |
894 |
Total Medical Submitted Charge Amount |
664451.7 |
Total Medical Medicare Allowed Amount |
414234.68 |
Total Medical Medicare Payment Amount |
301681.81 |
Total Medical Medicare Standardized Payment Amount |
287196.27 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
305 |
Number Of Beneficiaries Age 75 to 84 |
331 |
Number Of Beneficiaries Age Greater 84 |
216 |
Number Of Female Beneficiaries |
477 |
Number Of Male Beneficiaries |
417 |
Number Of Non Hispanic White Beneficiaries |
825 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
851 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.396 |