National Provider Identifier [NPI]: |
1730146721 |
Last Name Of The Provider |
MARCHAND |
First Name Of The Provider |
WAYNE |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
48 AUBURN ST |
Street Address 2 Of The Provider |
AUBURN PODIATRY LLP |
City Of The Provider |
AUBURN |
Zip Code Of The Provider |
01501 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
1004 |
Number Of Medicare Beneficiaries |
306 |
Total Submitted Charge Amount |
116954 |
Total Medicare Allowed Amount |
59684.01 |
Total Medicare Payment Amount |
42958.04 |
Total Medicare Standardized Payment Amount |
41763.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
17 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
218 |
Total Drug Medicare AllowedAmount |
28.53 |
Total Drug Medicare PaymentAmount |
21.34 |
Total Drug Medicare Standardized Payment Amount |
21.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
987 |
Number Of Medicare Beneficiaries With Medical Services |
306 |
Total Medical Submitted Charge Amount |
116736 |
Total Medical Medicare Allowed Amount |
59655.48 |
Total Medical Medicare Payment Amount |
42936.7 |
Total Medical Medicare Standardized Payment Amount |
41742.33 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
88 |
Number Of Beneficiaries Age 75 to 84 |
82 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
161 |
Number Of Male Beneficiaries |
145 |
Number Of Non Hispanic White Beneficiaries |
269 |
Number Of Black or African American Beneficiaries |
|
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 |
190 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4398 |