National Provider Identifier [NPI]: |
1992757603 |
Last Name Of The Provider |
NEUMAN |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
PODIATRIST |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9017 RESEDA BLVD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
NORTHRIDGE |
Zip Code Of The Provider |
913243922 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
5733 |
Number Of Medicare Beneficiaries |
681 |
Total Submitted Charge Amount |
386657 |
Total Medicare Allowed Amount |
292582.3 |
Total Medicare Payment Amount |
221765.07 |
Total Medicare Standardized Payment Amount |
199453.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
99 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
830 |
Total Drug Medicare AllowedAmount |
517.35 |
Total Drug Medicare PaymentAmount |
405.69 |
Total Drug Medicare Standardized Payment Amount |
405.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
5634 |
Number Of Medicare Beneficiaries With Medical Services |
681 |
Total Medical Submitted Charge Amount |
385827 |
Total Medical Medicare Allowed Amount |
292064.95 |
Total Medical Medicare Payment Amount |
221359.38 |
Total Medical Medicare Standardized Payment Amount |
199048.25 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
195 |
Number Of Beneficiaries Age 75 to 84 |
230 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
382 |
Number Of Male Beneficiaries |
299 |
Number Of Non Hispanic White Beneficiaries |
447 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
110 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
398 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
283 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7695 |