National Provider Identifier [NPI]: |
1184695504 |
Last Name Of The Provider |
MCKNIGHT |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
210 4TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRINNELL |
Zip Code Of The Provider |
501121898 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
5217 |
Number Of Medicare Beneficiaries |
740 |
Total Submitted Charge Amount |
1047548.79 |
Total Medicare Allowed Amount |
342498.27 |
Total Medicare Payment Amount |
248995.8 |
Total Medicare Standardized Payment Amount |
272538.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
33 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
33 |
Total Drug Medicare AllowedAmount |
4.48 |
Total Drug Medicare PaymentAmount |
3.45 |
Total Drug Medicare Standardized Payment Amount |
3.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
5184 |
Number Of Medicare Beneficiaries With Medical Services |
740 |
Total Medical Submitted Charge Amount |
1047515.79 |
Total Medical Medicare Allowed Amount |
342493.79 |
Total Medical Medicare Payment Amount |
248992.35 |
Total Medical Medicare Standardized Payment Amount |
272535.07 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
211 |
Number Of Beneficiaries Age Greater 84 |
267 |
Number Of Female Beneficiaries |
435 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
721 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
521 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
219 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
2 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3814 |