National Provider Identifier [NPI]: |
1891952875 |
Last Name Of The Provider |
OLKABA |
First Name Of The Provider |
JUDITH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
515 CHARLES STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
LA PLATA |
Zip Code Of The Provider |
20646 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
1757 |
Number Of Medicare Beneficiaries |
589 |
Total Submitted Charge Amount |
187765 |
Total Medicare Allowed Amount |
131696.8 |
Total Medicare Payment Amount |
94540.31 |
Total Medicare Standardized Payment Amount |
93071.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
24 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
336 |
Total Drug Medicare AllowedAmount |
57.69 |
Total Drug Medicare PaymentAmount |
41.56 |
Total Drug Medicare Standardized Payment Amount |
41.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1733 |
Number Of Medicare Beneficiaries With Medical Services |
589 |
Total Medical Submitted Charge Amount |
187429 |
Total Medical Medicare Allowed Amount |
131639.11 |
Total Medical Medicare Payment Amount |
94498.75 |
Total Medical Medicare Standardized Payment Amount |
93029.69 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
228 |
Number Of Beneficiaries Age 75 to 84 |
174 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
350 |
Number Of Male Beneficiaries |
239 |
Number Of Non Hispanic White Beneficiaries |
427 |
Number Of Black or African American Beneficiaries |
150 |
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 |
490 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5714 |