National Provider Identifier [NPI]: |
1396748281 |
Last Name Of The Provider |
MULLEN |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
488 SCHOOLEYS MOUNTAIN RD |
Street Address 2 Of The Provider |
HASTINGS COMMONS 1B |
City Of The Provider |
HACKETTSTOWN |
Zip Code Of The Provider |
078404001 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
3383 |
Number Of Medicare Beneficiaries |
776 |
Total Submitted Charge Amount |
360043.2 |
Total Medicare Allowed Amount |
140667.99 |
Total Medicare Payment Amount |
102908.42 |
Total Medicare Standardized Payment Amount |
91571.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
1160 |
Total Drug Medicare AllowedAmount |
139.73 |
Total Drug Medicare PaymentAmount |
106.68 |
Total Drug Medicare Standardized Payment Amount |
106.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
3331 |
Number Of Medicare Beneficiaries With Medical Services |
776 |
Total Medical Submitted Charge Amount |
358883.2 |
Total Medical Medicare Allowed Amount |
140528.26 |
Total Medical Medicare Payment Amount |
102801.74 |
Total Medical Medicare Standardized Payment Amount |
91464.46 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
210 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
264 |
Number Of Female Beneficiaries |
488 |
Number Of Male Beneficiaries |
288 |
Number Of Non Hispanic White Beneficiaries |
748 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
735 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5406 |