National Provider Identifier [NPI]: |
1346239498 |
Last Name Of The Provider |
NEUHAUS |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 STONECREST BLVD |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
SMYRNA |
Zip Code Of The Provider |
371675688 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
2691 |
Number Of Medicare Beneficiaries |
576 |
Total Submitted Charge Amount |
314161.5 |
Total Medicare Allowed Amount |
154233.04 |
Total Medicare Payment Amount |
107840.66 |
Total Medicare Standardized Payment Amount |
124230.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
414 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
1512 |
Total Drug Medicare AllowedAmount |
278.76 |
Total Drug Medicare PaymentAmount |
204.8 |
Total Drug Medicare Standardized Payment Amount |
204.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
2277 |
Number Of Medicare Beneficiaries With Medical Services |
576 |
Total Medical Submitted Charge Amount |
312649.5 |
Total Medical Medicare Allowed Amount |
153954.28 |
Total Medical Medicare Payment Amount |
107635.86 |
Total Medical Medicare Standardized Payment Amount |
124025.86 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
256 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
353 |
Number Of Male Beneficiaries |
223 |
Number Of Non Hispanic White Beneficiaries |
496 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
476 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4217 |