National Provider Identifier [NPI]: |
1912988833 |
Last Name Of The Provider |
HOLDAWAY |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1920 SCOTLAND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHAMBERSBURG |
Zip Code Of The Provider |
17201 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
6128 |
Number Of Medicare Beneficiaries |
907 |
Total Submitted Charge Amount |
463068 |
Total Medicare Allowed Amount |
251854.87 |
Total Medicare Payment Amount |
179633.29 |
Total Medicare Standardized Payment Amount |
187393.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
118 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
2540 |
Total Drug Medicare AllowedAmount |
1830.79 |
Total Drug Medicare PaymentAmount |
1312.87 |
Total Drug Medicare Standardized Payment Amount |
1312.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
6010 |
Number Of Medicare Beneficiaries With Medical Services |
907 |
Total Medical Submitted Charge Amount |
460528 |
Total Medical Medicare Allowed Amount |
250024.08 |
Total Medical Medicare Payment Amount |
178320.42 |
Total Medical Medicare Standardized Payment Amount |
186080.23 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
288 |
Number Of Beneficiaries Age 75 to 84 |
323 |
Number Of Beneficiaries Age Greater 84 |
198 |
Number Of Female Beneficiaries |
563 |
Number Of Male Beneficiaries |
344 |
Number Of Non Hispanic White Beneficiaries |
860 |
Number Of Black or African American Beneficiaries |
32 |
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 |
747 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
160 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6213 |