National Provider Identifier [NPI]: |
1083722649 |
Last Name Of The Provider |
CAFFIERO |
First Name Of The Provider |
LANCE |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
DPM PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14999 HEALTH CENTER DR |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
BOWIE |
Zip Code Of The Provider |
207161074 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
3594 |
Number Of Medicare Beneficiaries |
1214 |
Total Submitted Charge Amount |
362815 |
Total Medicare Allowed Amount |
233549.48 |
Total Medicare Payment Amount |
164498.05 |
Total Medicare Standardized Payment Amount |
147586.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
62 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
620 |
Total Drug Medicare AllowedAmount |
352.51 |
Total Drug Medicare PaymentAmount |
267.36 |
Total Drug Medicare Standardized Payment Amount |
267.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
3532 |
Number Of Medicare Beneficiaries With Medical Services |
1214 |
Total Medical Submitted Charge Amount |
362195 |
Total Medical Medicare Allowed Amount |
233196.97 |
Total Medical Medicare Payment Amount |
164230.69 |
Total Medical Medicare Standardized Payment Amount |
147319.51 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
507 |
Number Of Beneficiaries Age 75 to 84 |
447 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
765 |
Number Of Male Beneficiaries |
449 |
Number Of Non Hispanic White Beneficiaries |
532 |
Number Of Black or African American Beneficiaries |
645 |
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 |
1100 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4585 |