National Provider Identifier [NPI]: |
1285796292 |
Last Name Of The Provider |
RINKER |
First Name Of The Provider |
ANDREA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
721 NORTH MACOMB STREET |
Street Address 2 Of The Provider |
SUITE 5 |
City Of The Provider |
MONROE |
Zip Code Of The Provider |
481622968 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
3740 |
Number Of Medicare Beneficiaries |
1107 |
Total Submitted Charge Amount |
377702 |
Total Medicare Allowed Amount |
174002.14 |
Total Medicare Payment Amount |
121544.06 |
Total Medicare Standardized Payment Amount |
130776.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
84 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
588 |
Total Drug Medicare AllowedAmount |
434.8 |
Total Drug Medicare PaymentAmount |
313.81 |
Total Drug Medicare Standardized Payment Amount |
313.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
3656 |
Number Of Medicare Beneficiaries With Medical Services |
1107 |
Total Medical Submitted Charge Amount |
377114 |
Total Medical Medicare Allowed Amount |
173567.34 |
Total Medical Medicare Payment Amount |
121230.25 |
Total Medical Medicare Standardized Payment Amount |
130462.47 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
144 |
Number Of Beneficiaries Age 65 to 74 |
259 |
Number Of Beneficiaries Age 75 to 84 |
309 |
Number Of Beneficiaries Age Greater 84 |
395 |
Number Of Female Beneficiaries |
744 |
Number Of Male Beneficiaries |
363 |
Number Of Non Hispanic White Beneficiaries |
1064 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
739 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
368 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6833 |