National Provider Identifier [NPI]: |
1316902604 |
Last Name Of The Provider |
ROCCHIO |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2895 HAMILTON BLVD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
ALLENTOWN |
Zip Code Of The Provider |
181046172 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
6269 |
Number Of Medicare Beneficiaries |
754 |
Total Submitted Charge Amount |
646063.01 |
Total Medicare Allowed Amount |
248844.73 |
Total Medicare Payment Amount |
183080.32 |
Total Medicare Standardized Payment Amount |
178999.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
48 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
1440 |
Total Drug Medicare AllowedAmount |
85.9 |
Total Drug Medicare PaymentAmount |
61.97 |
Total Drug Medicare Standardized Payment Amount |
61.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
6221 |
Number Of Medicare Beneficiaries With Medical Services |
754 |
Total Medical Submitted Charge Amount |
644623.01 |
Total Medical Medicare Allowed Amount |
248758.83 |
Total Medical Medicare Payment Amount |
183018.35 |
Total Medical Medicare Standardized Payment Amount |
178937.62 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
217 |
Number Of Beneficiaries Age 75 to 84 |
223 |
Number Of Beneficiaries Age Greater 84 |
219 |
Number Of Female Beneficiaries |
483 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
681 |
Number Of Black or African American Beneficiaries |
36 |
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 |
494 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
260 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.872 |