National Provider Identifier [NPI]: |
1104842814 |
Last Name Of The Provider |
LACAVA |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3339 CENTRAL AVE |
Street Address 2 Of The Provider |
SUITE F |
City Of The Provider |
HOT SPRINGS |
Zip Code Of The Provider |
719136138 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
4818 |
Number Of Medicare Beneficiaries |
1529 |
Total Submitted Charge Amount |
438652 |
Total Medicare Allowed Amount |
249774.63 |
Total Medicare Payment Amount |
174350.15 |
Total Medicare Standardized Payment Amount |
194253.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
4818 |
Number Of Medicare Beneficiaries With Medical Services |
1529 |
Total Medical Submitted Charge Amount |
438652 |
Total Medical Medicare Allowed Amount |
249774.63 |
Total Medical Medicare Payment Amount |
174350.15 |
Total Medical Medicare Standardized Payment Amount |
194253.29 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
211 |
Number Of Beneficiaries Age 65 to 74 |
444 |
Number Of Beneficiaries Age 75 to 84 |
472 |
Number Of Beneficiaries Age Greater 84 |
402 |
Number Of Female Beneficiaries |
974 |
Number Of Male Beneficiaries |
555 |
Number Of Non Hispanic White Beneficiaries |
1324 |
Number Of Black or African American Beneficiaries |
184 |
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 |
945 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
584 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
35 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5524 |