National Provider Identifier [NPI]: |
1659376879 |
Last Name Of The Provider |
RIFFE |
First Name Of The Provider |
KATHRYN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 HOSPITAL DR |
Street Address 2 Of The Provider |
SUITE 402 |
City Of The Provider |
TRENTON |
Zip Code Of The Provider |
383823328 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
1670 |
Number Of Medicare Beneficiaries |
393 |
Total Submitted Charge Amount |
83475.95 |
Total Medicare Allowed Amount |
60710.8 |
Total Medicare Payment Amount |
42717.06 |
Total Medicare Standardized Payment Amount |
47660.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
26 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
249 |
Total Drug Medicare AllowedAmount |
79.53 |
Total Drug Medicare PaymentAmount |
57.43 |
Total Drug Medicare Standardized Payment Amount |
57.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
1644 |
Number Of Medicare Beneficiaries With Medical Services |
393 |
Total Medical Submitted Charge Amount |
83226.95 |
Total Medical Medicare Allowed Amount |
60631.27 |
Total Medical Medicare Payment Amount |
42659.63 |
Total Medical Medicare Standardized Payment Amount |
47603.4 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
126 |
Number Of Beneficiaries Age 75 to 84 |
140 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
238 |
Number Of Male Beneficiaries |
155 |
Number Of Non Hispanic White Beneficiaries |
319 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
284 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5666 |