National Provider Identifier [NPI]: |
1194884452 |
Last Name Of The Provider |
NEAMAND |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
621 DEVON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PARK RIDGE |
Zip Code Of The Provider |
600684732 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
7251 |
Number Of Medicare Beneficiaries |
817 |
Total Submitted Charge Amount |
740624 |
Total Medicare Allowed Amount |
447320.22 |
Total Medicare Payment Amount |
332736.15 |
Total Medicare Standardized Payment Amount |
312738.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2728 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
95374 |
Total Drug Medicare AllowedAmount |
52578.32 |
Total Drug Medicare PaymentAmount |
41146.09 |
Total Drug Medicare Standardized Payment Amount |
41146.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
4523 |
Number Of Medicare Beneficiaries With Medical Services |
817 |
Total Medical Submitted Charge Amount |
645250 |
Total Medical Medicare Allowed Amount |
394741.9 |
Total Medical Medicare Payment Amount |
291590.06 |
Total Medical Medicare Standardized Payment Amount |
271592.39 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
232 |
Number Of Beneficiaries Age 75 to 84 |
353 |
Number Of Beneficiaries Age Greater 84 |
201 |
Number Of Female Beneficiaries |
541 |
Number Of Male Beneficiaries |
276 |
Number Of Non Hispanic White Beneficiaries |
793 |
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 |
783 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2283 |