National Provider Identifier [NPI]: |
1114026929 |
Last Name Of The Provider |
FRISCH |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
30 SE 7TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334326134 |
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 |
47 |
Number Of Services |
4839 |
Number Of Medicare Beneficiaries |
1300 |
Total Submitted Charge Amount |
275926.99 |
Total Medicare Allowed Amount |
237352.59 |
Total Medicare Payment Amount |
170017.05 |
Total Medicare Standardized Payment Amount |
161896.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
67 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
536 |
Total Drug Medicare AllowedAmount |
384.62 |
Total Drug Medicare PaymentAmount |
251.53 |
Total Drug Medicare Standardized Payment Amount |
251.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
4772 |
Number Of Medicare Beneficiaries With Medical Services |
1300 |
Total Medical Submitted Charge Amount |
275390.99 |
Total Medical Medicare Allowed Amount |
236967.97 |
Total Medical Medicare Payment Amount |
169765.52 |
Total Medical Medicare Standardized Payment Amount |
161645.26 |
Average Age Of Beneficiaries |
82 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
250 |
Number Of Beneficiaries Age 75 to 84 |
523 |
Number Of Beneficiaries Age Greater 84 |
516 |
Number Of Female Beneficiaries |
749 |
Number Of Male Beneficiaries |
551 |
Number Of Non Hispanic White Beneficiaries |
1264 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1284 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4147 |