National Provider Identifier [NPI]: |
1508885872 |
Last Name Of The Provider |
BARTELL |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8825 PERIMETER PARK BLVD |
Street Address 2 Of The Provider |
SUITE 401 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322161108 |
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 |
21 |
Number Of Services |
1607 |
Number Of Medicare Beneficiaries |
531 |
Total Submitted Charge Amount |
173389 |
Total Medicare Allowed Amount |
98307.79 |
Total Medicare Payment Amount |
76022.19 |
Total Medicare Standardized Payment Amount |
76079.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
1607 |
Number Of Medicare Beneficiaries With Medical Services |
531 |
Total Medical Submitted Charge Amount |
173389 |
Total Medical Medicare Allowed Amount |
98307.79 |
Total Medical Medicare Payment Amount |
76022.19 |
Total Medical Medicare Standardized Payment Amount |
76079.19 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
112 |
Number Of Beneficiaries Age 75 to 84 |
133 |
Number Of Beneficiaries Age Greater 84 |
213 |
Number Of Female Beneficiaries |
339 |
Number Of Male Beneficiaries |
192 |
Number Of Non Hispanic White Beneficiaries |
401 |
Number Of Black or African American Beneficiaries |
101 |
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 |
200 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
331 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
72 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
61 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
28 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
2.5986 |