National Provider Identifier [NPI]: |
1740374172 |
Last Name Of The Provider |
FEIST |
First Name Of The Provider |
JAY |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4455 BRIDGETOWN ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
45211 |
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 |
37 |
Number Of Services |
4807 |
Number Of Medicare Beneficiaries |
836 |
Total Submitted Charge Amount |
212146 |
Total Medicare Allowed Amount |
185027.79 |
Total Medicare Payment Amount |
130302.06 |
Total Medicare Standardized Payment Amount |
137618.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
82 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
781 |
Total Drug Medicare AllowedAmount |
462.49 |
Total Drug Medicare PaymentAmount |
358.11 |
Total Drug Medicare Standardized Payment Amount |
358.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
4725 |
Number Of Medicare Beneficiaries With Medical Services |
836 |
Total Medical Submitted Charge Amount |
211365 |
Total Medical Medicare Allowed Amount |
184565.3 |
Total Medical Medicare Payment Amount |
129943.95 |
Total Medical Medicare Standardized Payment Amount |
137260.5 |
Average Age Of Beneficiaries |
82 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
150 |
Number Of Beneficiaries Age 75 to 84 |
261 |
Number Of Beneficiaries Age Greater 84 |
389 |
Number Of Female Beneficiaries |
534 |
Number Of Male Beneficiaries |
302 |
Number Of Non Hispanic White Beneficiaries |
811 |
Number Of Black or African American Beneficiaries |
12 |
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 |
732 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4825 |