National Provider Identifier [NPI]: |
1689674178 |
Last Name Of The Provider |
PALADINO |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
28089 VANDERBILT DR |
Street Address 2 Of The Provider |
#104 |
City Of The Provider |
BONITA SPRINGS |
Zip Code Of The Provider |
341347521 |
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 |
56 |
Number Of Services |
4610 |
Number Of Medicare Beneficiaries |
1291 |
Total Submitted Charge Amount |
384603.9 |
Total Medicare Allowed Amount |
241076.87 |
Total Medicare Payment Amount |
174584.66 |
Total Medicare Standardized Payment Amount |
166055.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
209 |
Number Of Medicare Beneficiaries With Drug Services |
120 |
Total Drug Submitted ChargeAmount |
1045 |
Total Drug Medicare AllowedAmount |
28.01 |
Total Drug Medicare PaymentAmount |
20.97 |
Total Drug Medicare Standardized Payment Amount |
20.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
4401 |
Number Of Medicare Beneficiaries With Medical Services |
1291 |
Total Medical Submitted Charge Amount |
383558.9 |
Total Medical Medicare Allowed Amount |
241048.86 |
Total Medical Medicare Payment Amount |
174563.69 |
Total Medical Medicare Standardized Payment Amount |
166034.42 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
358 |
Number Of Beneficiaries Age 75 to 84 |
471 |
Number Of Beneficiaries Age Greater 84 |
431 |
Number Of Female Beneficiaries |
697 |
Number Of Male Beneficiaries |
594 |
Number Of Non Hispanic White Beneficiaries |
1254 |
Number Of Black or African American Beneficiaries |
|
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 |
1257 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3164 |