National Provider Identifier [NPI]: |
1134196421 |
Last Name Of The Provider |
SOEFER |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
925 GESSNER RD |
Street Address 2 Of The Provider |
SUITE 575 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770242545 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
2331 |
Number Of Medicare Beneficiaries |
743 |
Total Submitted Charge Amount |
274898 |
Total Medicare Allowed Amount |
186934.37 |
Total Medicare Payment Amount |
134070.47 |
Total Medicare Standardized Payment Amount |
133650.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
40 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
400 |
Total Drug Medicare AllowedAmount |
129.27 |
Total Drug Medicare PaymentAmount |
83.68 |
Total Drug Medicare Standardized Payment Amount |
83.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2291 |
Number Of Medicare Beneficiaries With Medical Services |
743 |
Total Medical Submitted Charge Amount |
274498 |
Total Medical Medicare Allowed Amount |
186805.1 |
Total Medical Medicare Payment Amount |
133986.79 |
Total Medical Medicare Standardized Payment Amount |
133566.91 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
289 |
Number Of Beneficiaries Age 75 to 84 |
267 |
Number Of Beneficiaries Age Greater 84 |
149 |
Number Of Female Beneficiaries |
438 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
633 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
716 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4759 |