National Provider Identifier [NPI]: |
1417997016 |
Last Name Of The Provider |
HOLFINGER |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7255 OLD OAK BLVD |
Street Address 2 Of The Provider |
SUITE C308 |
City Of The Provider |
CLEVELAND |
Zip Code Of The Provider |
441303329 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
1497 |
Number Of Medicare Beneficiaries |
547 |
Total Submitted Charge Amount |
118675 |
Total Medicare Allowed Amount |
85709.77 |
Total Medicare Payment Amount |
59420.09 |
Total Medicare Standardized Payment Amount |
62221.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
71 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
355 |
Total Drug Medicare AllowedAmount |
126.81 |
Total Drug Medicare PaymentAmount |
95.89 |
Total Drug Medicare Standardized Payment Amount |
95.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
1426 |
Number Of Medicare Beneficiaries With Medical Services |
547 |
Total Medical Submitted Charge Amount |
118320 |
Total Medical Medicare Allowed Amount |
85582.96 |
Total Medical Medicare Payment Amount |
59324.2 |
Total Medical Medicare Standardized Payment Amount |
62125.45 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
166 |
Number Of Beneficiaries Age 75 to 84 |
236 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
299 |
Number Of Male Beneficiaries |
248 |
Number Of Non Hispanic White Beneficiaries |
529 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
508 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4623 |