National Provider Identifier [NPI]: |
1407896798 |
Last Name Of The Provider |
FILIPPONI |
First Name Of The Provider |
RAYMOND |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
401 HARMONY RD |
Street Address 2 Of The Provider |
SUITE 25 |
City Of The Provider |
GIBBSTOWN |
Zip Code Of The Provider |
080271723 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
3560 |
Number Of Medicare Beneficiaries |
816 |
Total Submitted Charge Amount |
223055 |
Total Medicare Allowed Amount |
207869.34 |
Total Medicare Payment Amount |
149883.34 |
Total Medicare Standardized Payment Amount |
139631.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
75 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
150 |
Total Drug Medicare AllowedAmount |
133.68 |
Total Drug Medicare PaymentAmount |
101.77 |
Total Drug Medicare Standardized Payment Amount |
101.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3485 |
Number Of Medicare Beneficiaries With Medical Services |
816 |
Total Medical Submitted Charge Amount |
222905 |
Total Medical Medicare Allowed Amount |
207735.66 |
Total Medical Medicare Payment Amount |
149781.57 |
Total Medical Medicare Standardized Payment Amount |
139529.93 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
171 |
Number Of Beneficiaries Age 75 to 84 |
247 |
Number Of Beneficiaries Age Greater 84 |
345 |
Number Of Female Beneficiaries |
513 |
Number Of Male Beneficiaries |
303 |
Number Of Non Hispanic White Beneficiaries |
719 |
Number Of Black or African American Beneficiaries |
74 |
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 |
677 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5879 |