National Provider Identifier [NPI]: |
1013902089 |
Last Name Of The Provider |
PARMENTER |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2920 MCINTYRE DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
BLOOMINGTON |
Zip Code Of The Provider |
474034221 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
127 |
Number Of Services |
4604 |
Number Of Medicare Beneficiaries |
1307 |
Total Submitted Charge Amount |
736367.33 |
Total Medicare Allowed Amount |
354305.87 |
Total Medicare Payment Amount |
254513.37 |
Total Medicare Standardized Payment Amount |
280699.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
221 |
Number Of Medicare Beneficiaries With Drug Services |
74 |
Total Drug Submitted ChargeAmount |
4978 |
Total Drug Medicare AllowedAmount |
384.07 |
Total Drug Medicare PaymentAmount |
276.54 |
Total Drug Medicare Standardized Payment Amount |
276.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
123 |
Number Of Medical Services |
4383 |
Number Of Medicare Beneficiaries With Medical Services |
1307 |
Total Medical Submitted Charge Amount |
731389.33 |
Total Medical Medicare Allowed Amount |
353921.8 |
Total Medical Medicare Payment Amount |
254236.83 |
Total Medical Medicare Standardized Payment Amount |
280423.34 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
184 |
Number Of Beneficiaries Age 65 to 74 |
471 |
Number Of Beneficiaries Age 75 to 84 |
443 |
Number Of Beneficiaries Age Greater 84 |
209 |
Number Of Female Beneficiaries |
795 |
Number Of Male Beneficiaries |
512 |
Number Of Non Hispanic White Beneficiaries |
1289 |
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 |
1077 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
230 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3811 |