National Provider Identifier [NPI]: |
1831163872 |
Last Name Of The Provider |
TALBERT |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8000 RED BUG LAKE RD |
Street Address 2 Of The Provider |
SUITE 230 |
City Of The Provider |
OVIEDO |
Zip Code Of The Provider |
327659226 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
7546 |
Number Of Medicare Beneficiaries |
802 |
Total Submitted Charge Amount |
803930.72 |
Total Medicare Allowed Amount |
395833.62 |
Total Medicare Payment Amount |
289742.62 |
Total Medicare Standardized Payment Amount |
295768.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1158 |
Number Of Medicare Beneficiaries With Drug Services |
89 |
Total Drug Submitted ChargeAmount |
60424 |
Total Drug Medicare AllowedAmount |
38608.86 |
Total Drug Medicare PaymentAmount |
30264.14 |
Total Drug Medicare Standardized Payment Amount |
30264.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
6388 |
Number Of Medicare Beneficiaries With Medical Services |
802 |
Total Medical Submitted Charge Amount |
743506.72 |
Total Medical Medicare Allowed Amount |
357224.76 |
Total Medical Medicare Payment Amount |
259478.48 |
Total Medical Medicare Standardized Payment Amount |
265504.48 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
309 |
Number Of Beneficiaries Age 75 to 84 |
290 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
482 |
Number Of Male Beneficiaries |
320 |
Number Of Non Hispanic White Beneficiaries |
581 |
Number Of Black or African American Beneficiaries |
104 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
99 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
707 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
95 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4723 |