National Provider Identifier [NPI]: |
1780673582 |
Last Name Of The Provider |
BLUME |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
70 CONN BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
EAST HARTFORD |
Zip Code Of The Provider |
061083013 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
13 |
Number Of Services |
4377 |
Number Of Medicare Beneficiaries |
1041 |
Total Submitted Charge Amount |
164425 |
Total Medicare Allowed Amount |
128520.95 |
Total Medicare Payment Amount |
91496.42 |
Total Medicare Standardized Payment Amount |
85344.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
13 |
Number Of Medical Services |
4377 |
Number Of Medicare Beneficiaries With Medical Services |
1041 |
Total Medical Submitted Charge Amount |
164425 |
Total Medical Medicare Allowed Amount |
128520.95 |
Total Medical Medicare Payment Amount |
91496.42 |
Total Medical Medicare Standardized Payment Amount |
85344.54 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
283 |
Number Of Beneficiaries Age Greater 84 |
435 |
Number Of Female Beneficiaries |
670 |
Number Of Male Beneficiaries |
371 |
Number Of Non Hispanic White Beneficiaries |
849 |
Number Of Black or African American Beneficiaries |
131 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
213 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
828 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
73 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
54 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
28 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.3673 |