National Provider Identifier [NPI]: |
1407840184 |
Last Name Of The Provider |
AARANSON |
First Name Of The Provider |
R |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1050 OLD DES PERES RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631311873 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
1363 |
Number Of Medicare Beneficiaries |
389 |
Total Submitted Charge Amount |
379974 |
Total Medicare Allowed Amount |
109056.83 |
Total Medicare Payment Amount |
77451.35 |
Total Medicare Standardized Payment Amount |
80259.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
42 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
625 |
Total Drug Medicare AllowedAmount |
105.82 |
Total Drug Medicare PaymentAmount |
76.43 |
Total Drug Medicare Standardized Payment Amount |
76.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
1321 |
Number Of Medicare Beneficiaries With Medical Services |
389 |
Total Medical Submitted Charge Amount |
379349 |
Total Medical Medicare Allowed Amount |
108951.01 |
Total Medical Medicare Payment Amount |
77374.92 |
Total Medical Medicare Standardized Payment Amount |
80183.02 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
146 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
241 |
Number Of Male Beneficiaries |
148 |
Number Of Non Hispanic White Beneficiaries |
366 |
Number Of Black or African American Beneficiaries |
|
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 |
352 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3028 |