National Provider Identifier [NPI]: |
1891731014 |
Last Name Of The Provider |
TROTTA |
First Name Of The Provider |
FRANCOIS |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD, PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
128 E MALLARD DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOISE |
Zip Code Of The Provider |
837063975 |
State Code Of The Provider |
ID |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
3818 |
Number Of Medicare Beneficiaries |
523 |
Total Submitted Charge Amount |
1711255.05 |
Total Medicare Allowed Amount |
364092.21 |
Total Medicare Payment Amount |
265335.96 |
Total Medicare Standardized Payment Amount |
286859.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
638 |
Number Of Medicare Beneficiaries With Drug Services |
149 |
Total Drug Submitted ChargeAmount |
104440.05 |
Total Drug Medicare AllowedAmount |
61953.98 |
Total Drug Medicare PaymentAmount |
48355.05 |
Total Drug Medicare Standardized Payment Amount |
48355.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
3180 |
Number Of Medicare Beneficiaries With Medical Services |
523 |
Total Medical Submitted Charge Amount |
1606815 |
Total Medical Medicare Allowed Amount |
302138.23 |
Total Medical Medicare Payment Amount |
216980.91 |
Total Medical Medicare Standardized Payment Amount |
238504.18 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
159 |
Number Of Beneficiaries Age 75 to 84 |
200 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
309 |
Number Of Male Beneficiaries |
214 |
Number Of Non Hispanic White Beneficiaries |
477 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
473 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.388 |