National Provider Identifier [NPI]: |
1003926122 |
Last Name Of The Provider |
TRITTO |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11801 ROCKVILLE PIKE |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208522734 |
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 |
64 |
Number Of Services |
3672 |
Number Of Medicare Beneficiaries |
780 |
Total Submitted Charge Amount |
454160 |
Total Medicare Allowed Amount |
217787.74 |
Total Medicare Payment Amount |
153729.01 |
Total Medicare Standardized Payment Amount |
134621.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
35 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
164 |
Total Drug Medicare AllowedAmount |
44.72 |
Total Drug Medicare PaymentAmount |
35.01 |
Total Drug Medicare Standardized Payment Amount |
35.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
3637 |
Number Of Medicare Beneficiaries With Medical Services |
780 |
Total Medical Submitted Charge Amount |
453996 |
Total Medical Medicare Allowed Amount |
217743.02 |
Total Medical Medicare Payment Amount |
153694 |
Total Medical Medicare Standardized Payment Amount |
134586 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
248 |
Number Of Beneficiaries Age 75 to 84 |
329 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
506 |
Number Of Male Beneficiaries |
274 |
Number Of Non Hispanic White Beneficiaries |
659 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
649 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1763 |