National Provider Identifier [NPI]: |
1083764419 |
Last Name Of The Provider |
ZERINGUE |
First Name Of The Provider |
GERALD |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4207 JAMES CASEY ST |
Street Address 2 Of The Provider |
STE. 315 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787453300 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
1232 |
Number Of Medicare Beneficiaries |
348 |
Total Submitted Charge Amount |
128644 |
Total Medicare Allowed Amount |
94361.44 |
Total Medicare Payment Amount |
66985.49 |
Total Medicare Standardized Payment Amount |
69890.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
42 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
294 |
Total Drug Medicare AllowedAmount |
102.75 |
Total Drug Medicare PaymentAmount |
73.37 |
Total Drug Medicare Standardized Payment Amount |
73.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
1190 |
Number Of Medicare Beneficiaries With Medical Services |
348 |
Total Medical Submitted Charge Amount |
128350 |
Total Medical Medicare Allowed Amount |
94258.69 |
Total Medical Medicare Payment Amount |
66912.12 |
Total Medical Medicare Standardized Payment Amount |
69817.31 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
110 |
Number Of Beneficiaries Age 75 to 84 |
110 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
204 |
Number Of Male Beneficiaries |
144 |
Number Of Non Hispanic White Beneficiaries |
258 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
256 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1911 |