National Provider Identifier [NPI]: |
1851339659 |
Last Name Of The Provider |
WARKALA |
First Name Of The Provider |
ROBERT |
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 |
100 KINGS WAY E |
Street Address 2 Of The Provider |
SUITE D6 |
City Of The Provider |
SEWELL |
Zip Code Of The Provider |
080802237 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
5072 |
Number Of Medicare Beneficiaries |
1363 |
Total Submitted Charge Amount |
777934.94 |
Total Medicare Allowed Amount |
283556.32 |
Total Medicare Payment Amount |
213182.9 |
Total Medicare Standardized Payment Amount |
198652.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
29 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
29 |
Total Drug Medicare AllowedAmount |
4.03 |
Total Drug Medicare PaymentAmount |
3.22 |
Total Drug Medicare Standardized Payment Amount |
3.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
5043 |
Number Of Medicare Beneficiaries With Medical Services |
1363 |
Total Medical Submitted Charge Amount |
777905.94 |
Total Medical Medicare Allowed Amount |
283552.29 |
Total Medical Medicare Payment Amount |
213179.68 |
Total Medical Medicare Standardized Payment Amount |
198648.86 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
356 |
Number Of Beneficiaries Age 75 to 84 |
388 |
Number Of Beneficiaries Age Greater 84 |
451 |
Number Of Female Beneficiaries |
860 |
Number Of Male Beneficiaries |
503 |
Number Of Non Hispanic White Beneficiaries |
1168 |
Number Of Black or African American Beneficiaries |
133 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
912 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
451 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.867 |