National Provider Identifier [NPI]: |
1306887930 |
Last Name Of The Provider |
BARTAL |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
|
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 |
66 |
Number Of Services |
2401 |
Number Of Medicare Beneficiaries |
679 |
Total Submitted Charge Amount |
182145 |
Total Medicare Allowed Amount |
128700.31 |
Total Medicare Payment Amount |
92948.92 |
Total Medicare Standardized Payment Amount |
95908.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
55 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
275 |
Total Drug Medicare AllowedAmount |
98 |
Total Drug Medicare PaymentAmount |
69.78 |
Total Drug Medicare Standardized Payment Amount |
69.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
2346 |
Number Of Medicare Beneficiaries With Medical Services |
679 |
Total Medical Submitted Charge Amount |
181870 |
Total Medical Medicare Allowed Amount |
128602.31 |
Total Medical Medicare Payment Amount |
92879.14 |
Total Medical Medicare Standardized Payment Amount |
95838.8 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
280 |
Number Of Beneficiaries Age Greater 84 |
143 |
Number Of Female Beneficiaries |
381 |
Number Of Male Beneficiaries |
298 |
Number Of Non Hispanic White Beneficiaries |
646 |
Number Of Black or African American Beneficiaries |
11 |
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 |
603 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
76 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5949 |