National Provider Identifier [NPI]: |
1548223555 |
Last Name Of The Provider |
BECHTEL |
First Name Of The Provider |
JANET |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
680 W MONROE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WYTHEVILLE |
Zip Code Of The Provider |
243822240 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
2502 |
Number Of Medicare Beneficiaries |
898 |
Total Submitted Charge Amount |
225194.99 |
Total Medicare Allowed Amount |
134703.62 |
Total Medicare Payment Amount |
94393.97 |
Total Medicare Standardized Payment Amount |
96623.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
2502 |
Number Of Medicare Beneficiaries With Medical Services |
898 |
Total Medical Submitted Charge Amount |
225194.99 |
Total Medical Medicare Allowed Amount |
134703.62 |
Total Medical Medicare Payment Amount |
94393.97 |
Total Medical Medicare Standardized Payment Amount |
96623.09 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
288 |
Number Of Beneficiaries Age 75 to 84 |
298 |
Number Of Beneficiaries Age Greater 84 |
197 |
Number Of Female Beneficiaries |
610 |
Number Of Male Beneficiaries |
288 |
Number Of Non Hispanic White Beneficiaries |
864 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
714 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
184 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3713 |