National Provider Identifier [NPI]: |
1164414769 |
Last Name Of The Provider |
MESSENGER |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1043 WASHINGTON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
THOMSON |
Zip Code Of The Provider |
308247318 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
8040 |
Number Of Medicare Beneficiaries |
483 |
Total Submitted Charge Amount |
1256044 |
Total Medicare Allowed Amount |
387616.57 |
Total Medicare Payment Amount |
293880.66 |
Total Medicare Standardized Payment Amount |
307506.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1994 |
Number Of Medicare Beneficiaries With Drug Services |
221 |
Total Drug Submitted ChargeAmount |
22300 |
Total Drug Medicare AllowedAmount |
4494.06 |
Total Drug Medicare PaymentAmount |
3408.19 |
Total Drug Medicare Standardized Payment Amount |
3408.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
6046 |
Number Of Medicare Beneficiaries With Medical Services |
483 |
Total Medical Submitted Charge Amount |
1233744 |
Total Medical Medicare Allowed Amount |
383122.51 |
Total Medical Medicare Payment Amount |
290472.47 |
Total Medical Medicare Standardized Payment Amount |
304098.04 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
165 |
Number Of Beneficiaries Age 75 to 84 |
137 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
300 |
Number Of Male Beneficiaries |
183 |
Number Of Non Hispanic White Beneficiaries |
262 |
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 |
272 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
211 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7254 |