National Provider Identifier [NPI]: |
1770539090 |
Last Name Of The Provider |
DELUCA |
First Name Of The Provider |
PAULA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10075 S JOG RD |
Street Address 2 Of The Provider |
STE 208 |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334373535 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
2955 |
Number Of Medicare Beneficiaries |
936 |
Total Submitted Charge Amount |
252277 |
Total Medicare Allowed Amount |
182835.06 |
Total Medicare Payment Amount |
136251.44 |
Total Medicare Standardized Payment Amount |
132212.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
2955 |
Number Of Medicare Beneficiaries With Medical Services |
936 |
Total Medical Submitted Charge Amount |
252277 |
Total Medical Medicare Allowed Amount |
182835.06 |
Total Medical Medicare Payment Amount |
136251.44 |
Total Medical Medicare Standardized Payment Amount |
132212.58 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
266 |
Number Of Beneficiaries Age 75 to 84 |
399 |
Number Of Beneficiaries Age Greater 84 |
253 |
Number Of Female Beneficiaries |
472 |
Number Of Male Beneficiaries |
464 |
Number Of Non Hispanic White Beneficiaries |
885 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
913 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4533 |