National Provider Identifier [NPI]: |
1447448337 |
Last Name Of The Provider |
FALEY |
First Name Of The Provider |
JOSHUA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14555 LEVAN ROAD |
Street Address 2 Of The Provider |
SUITE E-302 |
City Of The Provider |
LIVONIA |
Zip Code Of The Provider |
48154 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
2331 |
Number Of Medicare Beneficiaries |
525 |
Total Submitted Charge Amount |
290586.5 |
Total Medicare Allowed Amount |
182194.61 |
Total Medicare Payment Amount |
136798.59 |
Total Medicare Standardized Payment Amount |
134437.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
134 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
7980 |
Total Drug Medicare AllowedAmount |
5683.74 |
Total Drug Medicare PaymentAmount |
4455.98 |
Total Drug Medicare Standardized Payment Amount |
4455.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
2197 |
Number Of Medicare Beneficiaries With Medical Services |
525 |
Total Medical Submitted Charge Amount |
282606.5 |
Total Medical Medicare Allowed Amount |
176510.87 |
Total Medical Medicare Payment Amount |
132342.61 |
Total Medical Medicare Standardized Payment Amount |
129981.8 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
277 |
Number Of Male Beneficiaries |
248 |
Number Of Non Hispanic White Beneficiaries |
382 |
Number Of Black or African American Beneficiaries |
120 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
95 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.2628 |