National Provider Identifier [NPI]: |
1780647743 |
Last Name Of The Provider |
MCELGUN |
First Name Of The Provider |
TERENCE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
520 FRANKLIN AVE |
Street Address 2 Of The Provider |
SUITE 223 |
City Of The Provider |
GARDEN CITY |
Zip Code Of The Provider |
115305801 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
3095 |
Number Of Medicare Beneficiaries |
837 |
Total Submitted Charge Amount |
203889.63 |
Total Medicare Allowed Amount |
180737.19 |
Total Medicare Payment Amount |
140686.54 |
Total Medicare Standardized Payment Amount |
123749.79 |
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 |
30 |
Number Of Medical Services |
3095 |
Number Of Medicare Beneficiaries With Medical Services |
837 |
Total Medical Submitted Charge Amount |
203889.63 |
Total Medical Medicare Allowed Amount |
180737.19 |
Total Medical Medicare Payment Amount |
140686.54 |
Total Medical Medicare Standardized Payment Amount |
123749.79 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
310 |
Number Of Beneficiaries Age 75 to 84 |
289 |
Number Of Beneficiaries Age Greater 84 |
189 |
Number Of Female Beneficiaries |
502 |
Number Of Male Beneficiaries |
335 |
Number Of Non Hispanic White Beneficiaries |
755 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
786 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.293 |