National Provider Identifier [NPI]: |
1932104759 |
Last Name Of The Provider |
FARNWORTH |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3408 OLANDWOOD CT |
Street Address 2 Of The Provider |
SUITE 204 |
City Of The Provider |
OLNEY |
Zip Code Of The Provider |
208321367 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
3779 |
Number Of Medicare Beneficiaries |
644 |
Total Submitted Charge Amount |
262432 |
Total Medicare Allowed Amount |
171899.43 |
Total Medicare Payment Amount |
124469.58 |
Total Medicare Standardized Payment Amount |
108995.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
66 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
340 |
Total Drug Medicare AllowedAmount |
219.24 |
Total Drug Medicare PaymentAmount |
169.09 |
Total Drug Medicare Standardized Payment Amount |
169.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
3713 |
Number Of Medicare Beneficiaries With Medical Services |
644 |
Total Medical Submitted Charge Amount |
262092 |
Total Medical Medicare Allowed Amount |
171680.19 |
Total Medical Medicare Payment Amount |
124300.49 |
Total Medical Medicare Standardized Payment Amount |
108826.41 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
192 |
Number Of Female Beneficiaries |
435 |
Number Of Male Beneficiaries |
209 |
Number Of Non Hispanic White Beneficiaries |
398 |
Number Of Black or African American Beneficiaries |
193 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
593 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3435 |