National Provider Identifier [NPI]: |
1548339872 |
Last Name Of The Provider |
FRANGIAMORE |
First Name Of The Provider |
SALVATORE |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
D.P.M |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
603 N STATE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
GIRARD |
Zip Code Of The Provider |
444201748 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
1353 |
Number Of Medicare Beneficiaries |
456 |
Total Submitted Charge Amount |
121108 |
Total Medicare Allowed Amount |
79602.11 |
Total Medicare Payment Amount |
57287.35 |
Total Medicare Standardized Payment Amount |
59759.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
46 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
338 |
Total Drug Medicare AllowedAmount |
61.19 |
Total Drug Medicare PaymentAmount |
43.49 |
Total Drug Medicare Standardized Payment Amount |
43.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
1307 |
Number Of Medicare Beneficiaries With Medical Services |
456 |
Total Medical Submitted Charge Amount |
120770 |
Total Medical Medicare Allowed Amount |
79540.92 |
Total Medical Medicare Payment Amount |
57243.86 |
Total Medical Medicare Standardized Payment Amount |
59715.9 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
108 |
Number Of Beneficiaries Age 75 to 84 |
125 |
Number Of Beneficiaries Age Greater 84 |
118 |
Number Of Female Beneficiaries |
303 |
Number Of Male Beneficiaries |
153 |
Number Of Non Hispanic White Beneficiaries |
397 |
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 |
230 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
226 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.0829 |