National Provider Identifier [NPI]: |
1538123849 |
Last Name Of The Provider |
SCHEIBER |
First Name Of The Provider |
ELIZABETH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7050 W PALMETTO PARK RD #18 |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334333426 |
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 |
28 |
Number Of Services |
3092 |
Number Of Medicare Beneficiaries |
980 |
Total Submitted Charge Amount |
488685.74 |
Total Medicare Allowed Amount |
173291.22 |
Total Medicare Payment Amount |
123872.82 |
Total Medicare Standardized Payment Amount |
118688.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
271 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
7317 |
Total Drug Medicare AllowedAmount |
482.77 |
Total Drug Medicare PaymentAmount |
367.18 |
Total Drug Medicare Standardized Payment Amount |
367.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
2821 |
Number Of Medicare Beneficiaries With Medical Services |
980 |
Total Medical Submitted Charge Amount |
481368.74 |
Total Medical Medicare Allowed Amount |
172808.45 |
Total Medical Medicare Payment Amount |
123505.64 |
Total Medical Medicare Standardized Payment Amount |
118321.74 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
424 |
Number Of Beneficiaries Age 75 to 84 |
338 |
Number Of Beneficiaries Age Greater 84 |
140 |
Number Of Female Beneficiaries |
491 |
Number Of Male Beneficiaries |
489 |
Number Of Non Hispanic White Beneficiaries |
651 |
Number Of Black or African American Beneficiaries |
126 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
173 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
853 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.391 |