National Provider Identifier [NPI]: |
1235201963 |
Last Name Of The Provider |
VALENTI |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3555 LUTHERAN PKWY |
Street Address 2 Of The Provider |
SUITE 230 |
City Of The Provider |
WHEAT RIDGE |
Zip Code Of The Provider |
800336021 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
1853 |
Number Of Medicare Beneficiaries |
453 |
Total Submitted Charge Amount |
210454.21 |
Total Medicare Allowed Amount |
146161.16 |
Total Medicare Payment Amount |
107607.38 |
Total Medicare Standardized Payment Amount |
107438.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
64 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
640 |
Total Drug Medicare AllowedAmount |
286.55 |
Total Drug Medicare PaymentAmount |
223.33 |
Total Drug Medicare Standardized Payment Amount |
223.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
1789 |
Number Of Medicare Beneficiaries With Medical Services |
453 |
Total Medical Submitted Charge Amount |
209814.21 |
Total Medical Medicare Allowed Amount |
145874.61 |
Total Medical Medicare Payment Amount |
107384.05 |
Total Medical Medicare Standardized Payment Amount |
107214.72 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
149 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
113 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
402 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
395 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5916 |