National Provider Identifier [NPI]: |
1841231909 |
Last Name Of The Provider |
MORSE |
First Name Of The Provider |
MEVELYN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
365 HEMINGWAY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
EAST HAVEN |
Zip Code Of The Provider |
065122384 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
3190 |
Number Of Medicare Beneficiaries |
563 |
Total Submitted Charge Amount |
169750.44 |
Total Medicare Allowed Amount |
149441.98 |
Total Medicare Payment Amount |
110251.82 |
Total Medicare Standardized Payment Amount |
104542.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
45 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
129 |
Total Drug Medicare AllowedAmount |
47.05 |
Total Drug Medicare PaymentAmount |
32.9 |
Total Drug Medicare Standardized Payment Amount |
32.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
3145 |
Number Of Medicare Beneficiaries With Medical Services |
563 |
Total Medical Submitted Charge Amount |
169621.44 |
Total Medical Medicare Allowed Amount |
149394.93 |
Total Medical Medicare Payment Amount |
110218.92 |
Total Medical Medicare Standardized Payment Amount |
104509.19 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
134 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
218 |
Number Of Female Beneficiaries |
373 |
Number Of Male Beneficiaries |
190 |
Number Of Non Hispanic White Beneficiaries |
545 |
Number Of Black or African American Beneficiaries |
|
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 |
442 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.6003 |