National Provider Identifier [NPI]: |
1831367465 |
Last Name Of The Provider |
VENA |
First Name Of The Provider |
VIRGINIO |
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 |
651 W INDIANTOWN RD STE K |
Street Address 2 Of The Provider |
|
City Of The Provider |
JUPITER |
Zip Code Of The Provider |
334587557 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
6172 |
Number Of Medicare Beneficiaries |
947 |
Total Submitted Charge Amount |
520618 |
Total Medicare Allowed Amount |
380288.92 |
Total Medicare Payment Amount |
294689.86 |
Total Medicare Standardized Payment Amount |
280539.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
156 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
1580 |
Total Drug Medicare AllowedAmount |
869.54 |
Total Drug Medicare PaymentAmount |
675.9 |
Total Drug Medicare Standardized Payment Amount |
675.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
6016 |
Number Of Medicare Beneficiaries With Medical Services |
947 |
Total Medical Submitted Charge Amount |
519038 |
Total Medical Medicare Allowed Amount |
379419.38 |
Total Medical Medicare Payment Amount |
294013.96 |
Total Medical Medicare Standardized Payment Amount |
279863.67 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
271 |
Number Of Beneficiaries Age 75 to 84 |
398 |
Number Of Beneficiaries Age Greater 84 |
250 |
Number Of Female Beneficiaries |
514 |
Number Of Male Beneficiaries |
433 |
Number Of Non Hispanic White Beneficiaries |
905 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
918 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4373 |