National Provider Identifier [NPI]: |
1104833318 |
Last Name Of The Provider |
PALMER |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
901 N CONGRESS AVE |
Street Address 2 Of The Provider |
SUITE D104 |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334263316 |
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 |
38 |
Number Of Services |
1336 |
Number Of Medicare Beneficiaries |
274 |
Total Submitted Charge Amount |
98955 |
Total Medicare Allowed Amount |
66251.99 |
Total Medicare Payment Amount |
48658.96 |
Total Medicare Standardized Payment Amount |
46151.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
114 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
870 |
Total Drug Medicare AllowedAmount |
315.64 |
Total Drug Medicare PaymentAmount |
247.54 |
Total Drug Medicare Standardized Payment Amount |
247.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1222 |
Number Of Medicare Beneficiaries With Medical Services |
274 |
Total Medical Submitted Charge Amount |
98085 |
Total Medical Medicare Allowed Amount |
65936.35 |
Total Medical Medicare Payment Amount |
48411.42 |
Total Medical Medicare Standardized Payment Amount |
45903.79 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
98 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
165 |
Number Of Male Beneficiaries |
109 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
263 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5697 |