National Provider Identifier [NPI]: |
1518900885 |
Last Name Of The Provider |
SHERIFF |
First Name Of The Provider |
MARY |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
PODIATRIST |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4301 ELYSIAN FIELDS AVE |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
NEW ORLEANS |
Zip Code Of The Provider |
701223875 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
1617 |
Number Of Medicare Beneficiaries |
579 |
Total Submitted Charge Amount |
183302 |
Total Medicare Allowed Amount |
124821.15 |
Total Medicare Payment Amount |
84879.19 |
Total Medicare Standardized Payment Amount |
86365.68 |
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 |
15 |
Number Of Medical Services |
1617 |
Number Of Medicare Beneficiaries With Medical Services |
579 |
Total Medical Submitted Charge Amount |
183302 |
Total Medical Medicare Allowed Amount |
124821.15 |
Total Medical Medicare Payment Amount |
84879.19 |
Total Medical Medicare Standardized Payment Amount |
86365.68 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
214 |
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
354 |
Number Of Male Beneficiaries |
225 |
Number Of Non Hispanic White Beneficiaries |
92 |
Number Of Black or African American Beneficiaries |
470 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
159 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
420 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7523 |