National Provider Identifier [NPI]: |
1043217235 |
Last Name Of The Provider |
ZWICK |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1321 NW 14TH ST |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
331251653 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
2733 |
Number Of Medicare Beneficiaries |
579 |
Total Submitted Charge Amount |
737034.49 |
Total Medicare Allowed Amount |
208928.82 |
Total Medicare Payment Amount |
162715 |
Total Medicare Standardized Payment Amount |
148595.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
770 |
Total Drug Medicare AllowedAmount |
69.49 |
Total Drug Medicare PaymentAmount |
51.63 |
Total Drug Medicare Standardized Payment Amount |
51.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
2694 |
Number Of Medicare Beneficiaries With Medical Services |
579 |
Total Medical Submitted Charge Amount |
736264.49 |
Total Medical Medicare Allowed Amount |
208859.33 |
Total Medical Medicare Payment Amount |
162663.37 |
Total Medical Medicare Standardized Payment Amount |
148543.99 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
150 |
Number Of Beneficiaries Age 65 to 74 |
192 |
Number Of Beneficiaries Age 75 to 84 |
164 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
286 |
Number Of Male Beneficiaries |
293 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
120 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
336 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
167 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
412 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
73 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
3.1809 |