National Provider Identifier [NPI]: |
1568625010 |
Last Name Of The Provider |
MORRISSEY |
First Name Of The Provider |
MICHELLE |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
D.P.M |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1941 LIMESTONE RD |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
WILMINGTON |
Zip Code Of The Provider |
198082415 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
1461 |
Number Of Medicare Beneficiaries |
483 |
Total Submitted Charge Amount |
147111 |
Total Medicare Allowed Amount |
89013.65 |
Total Medicare Payment Amount |
67729.41 |
Total Medicare Standardized Payment Amount |
67601.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
43 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
860 |
Total Drug Medicare AllowedAmount |
5.72 |
Total Drug Medicare PaymentAmount |
4.6 |
Total Drug Medicare Standardized Payment Amount |
4.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1418 |
Number Of Medicare Beneficiaries With Medical Services |
483 |
Total Medical Submitted Charge Amount |
146251 |
Total Medical Medicare Allowed Amount |
89007.93 |
Total Medical Medicare Payment Amount |
67724.81 |
Total Medical Medicare Standardized Payment Amount |
67596.66 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
142 |
Number Of Beneficiaries Age 75 to 84 |
150 |
Number Of Beneficiaries Age Greater 84 |
124 |
Number Of Female Beneficiaries |
284 |
Number Of Male Beneficiaries |
199 |
Number Of Non Hispanic White Beneficiaries |
396 |
Number Of Black or African American Beneficiaries |
63 |
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 |
403 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5519 |