National Provider Identifier [NPI]: |
1992708986 |
Last Name Of The Provider |
KROYN |
First Name Of The Provider |
JEAN |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1759 E VILLA DR |
Street Address 2 Of The Provider |
STE 114 |
City Of The Provider |
COTTONWOOD |
Zip Code Of The Provider |
863264681 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
3272 |
Number Of Medicare Beneficiaries |
672 |
Total Submitted Charge Amount |
233017.42 |
Total Medicare Allowed Amount |
175440.5 |
Total Medicare Payment Amount |
130860.9 |
Total Medicare Standardized Payment Amount |
131713.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
231 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
1155 |
Total Drug Medicare AllowedAmount |
411.83 |
Total Drug Medicare PaymentAmount |
317.14 |
Total Drug Medicare Standardized Payment Amount |
317.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3041 |
Number Of Medicare Beneficiaries With Medical Services |
672 |
Total Medical Submitted Charge Amount |
231862.42 |
Total Medical Medicare Allowed Amount |
175028.67 |
Total Medical Medicare Payment Amount |
130543.76 |
Total Medical Medicare Standardized Payment Amount |
131396.5 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
208 |
Number Of Beneficiaries Age 75 to 84 |
220 |
Number Of Beneficiaries Age Greater 84 |
226 |
Number Of Female Beneficiaries |
417 |
Number Of Male Beneficiaries |
255 |
Number Of Non Hispanic White Beneficiaries |
625 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
636 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2522 |