National Provider Identifier [NPI]: |
1306959648 |
Last Name Of The Provider |
KILFOIL |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
53345 MAIN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTHOLD |
Zip Code Of The Provider |
119714643 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
2127 |
Number Of Medicare Beneficiaries |
409 |
Total Submitted Charge Amount |
114386 |
Total Medicare Allowed Amount |
102704.19 |
Total Medicare Payment Amount |
75279.24 |
Total Medicare Standardized Payment Amount |
64620.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
102 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
505 |
Total Drug Medicare AllowedAmount |
181.11 |
Total Drug Medicare PaymentAmount |
135.9 |
Total Drug Medicare Standardized Payment Amount |
135.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
2025 |
Number Of Medicare Beneficiaries With Medical Services |
409 |
Total Medical Submitted Charge Amount |
113881 |
Total Medical Medicare Allowed Amount |
102523.08 |
Total Medical Medicare Payment Amount |
75143.34 |
Total Medical Medicare Standardized Payment Amount |
64484.55 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
118 |
Number Of Beneficiaries Age 75 to 84 |
144 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
236 |
Number Of Male Beneficiaries |
173 |
Number Of Non Hispanic White Beneficiaries |
366 |
Number Of Black or African American Beneficiaries |
24 |
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 |
353 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3901 |