National Provider Identifier [NPI]: |
1720002579 |
Last Name Of The Provider |
REZENDES |
First Name Of The Provider |
CATHERINE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12413 JUDSON RD |
Street Address 2 Of The Provider |
STE.120 |
City Of The Provider |
LIVE OAK |
Zip Code Of The Provider |
782333202 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
1946 |
Number Of Medicare Beneficiaries |
642 |
Total Submitted Charge Amount |
146845 |
Total Medicare Allowed Amount |
102498.84 |
Total Medicare Payment Amount |
71008.05 |
Total Medicare Standardized Payment Amount |
74618.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
144 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
2010 |
Total Drug Medicare AllowedAmount |
1055.09 |
Total Drug Medicare PaymentAmount |
806.9 |
Total Drug Medicare Standardized Payment Amount |
806.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1802 |
Number Of Medicare Beneficiaries With Medical Services |
642 |
Total Medical Submitted Charge Amount |
144835 |
Total Medical Medicare Allowed Amount |
101443.75 |
Total Medical Medicare Payment Amount |
70201.15 |
Total Medical Medicare Standardized Payment Amount |
73811.27 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
285 |
Number Of Beneficiaries Age 75 to 84 |
226 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
371 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
406 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
142 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
605 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4574 |