National Provider Identifier [NPI]: |
1043345416 |
Last Name Of The Provider |
ANDREWS |
First Name Of The Provider |
ROBIN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
23961 CALLE DE LA MAGDALENA |
Street Address 2 Of The Provider |
#143 |
City Of The Provider |
LAGUNA HILLS |
Zip Code Of The Provider |
926533616 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
1462 |
Number Of Medicare Beneficiaries |
497 |
Total Submitted Charge Amount |
119525 |
Total Medicare Allowed Amount |
93956.56 |
Total Medicare Payment Amount |
65440.78 |
Total Medicare Standardized Payment Amount |
59383.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
390 |
Total Drug Medicare AllowedAmount |
222.93 |
Total Drug Medicare PaymentAmount |
167.66 |
Total Drug Medicare Standardized Payment Amount |
167.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1423 |
Number Of Medicare Beneficiaries With Medical Services |
497 |
Total Medical Submitted Charge Amount |
119135 |
Total Medical Medicare Allowed Amount |
93733.63 |
Total Medical Medicare Payment Amount |
65273.12 |
Total Medical Medicare Standardized Payment Amount |
59215.75 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
112 |
Number Of Beneficiaries Age 75 to 84 |
139 |
Number Of Beneficiaries Age Greater 84 |
219 |
Number Of Female Beneficiaries |
293 |
Number Of Male Beneficiaries |
204 |
Number Of Non Hispanic White Beneficiaries |
437 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
446 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.53 |