National Provider Identifier [NPI]: |
1366442824 |
Last Name Of The Provider |
PASTERNAC |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DPM PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3626 NW 7TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
331254069 |
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 |
35 |
Number Of Services |
5171 |
Number Of Medicare Beneficiaries |
1529 |
Total Submitted Charge Amount |
630674 |
Total Medicare Allowed Amount |
417426.8 |
Total Medicare Payment Amount |
325957.39 |
Total Medicare Standardized Payment Amount |
301495.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
110 |
Number Of Medicare Beneficiaries With Drug Services |
110 |
Total Drug Submitted ChargeAmount |
923 |
Total Drug Medicare AllowedAmount |
626.66 |
Total Drug Medicare PaymentAmount |
491.4 |
Total Drug Medicare Standardized Payment Amount |
491.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
5061 |
Number Of Medicare Beneficiaries With Medical Services |
1529 |
Total Medical Submitted Charge Amount |
629751 |
Total Medical Medicare Allowed Amount |
416800.14 |
Total Medical Medicare Payment Amount |
325465.99 |
Total Medical Medicare Standardized Payment Amount |
301004.32 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
278 |
Number Of Beneficiaries Age 75 to 84 |
540 |
Number Of Beneficiaries Age Greater 84 |
586 |
Number Of Female Beneficiaries |
1031 |
Number Of Male Beneficiaries |
498 |
Number Of Non Hispanic White Beneficiaries |
116 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1388 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
132 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1397 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
71 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
67 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
32 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.2361 |