National Provider Identifier [NPI]: |
1942461058 |
Last Name Of The Provider |
KRYNSKI |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2520 B F TERRY BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROSENBERG |
Zip Code Of The Provider |
774715636 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
1572 |
Number Of Medicare Beneficiaries |
303 |
Total Submitted Charge Amount |
194486 |
Total Medicare Allowed Amount |
89968.84 |
Total Medicare Payment Amount |
65626.45 |
Total Medicare Standardized Payment Amount |
69749.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
191 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
1588 |
Total Drug Medicare AllowedAmount |
744.49 |
Total Drug Medicare PaymentAmount |
583.67 |
Total Drug Medicare Standardized Payment Amount |
583.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
1381 |
Number Of Medicare Beneficiaries With Medical Services |
303 |
Total Medical Submitted Charge Amount |
192898 |
Total Medical Medicare Allowed Amount |
89224.35 |
Total Medical Medicare Payment Amount |
65042.78 |
Total Medical Medicare Standardized Payment Amount |
69166.11 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
119 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
181 |
Number Of Male Beneficiaries |
122 |
Number Of Non Hispanic White Beneficiaries |
190 |
Number Of Black or African American Beneficiaries |
60 |
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 |
227 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
76 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5513 |