National Provider Identifier [NPI]: |
1881684785 |
Last Name Of The Provider |
MCCURDY |
First Name Of The Provider |
CATHY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
PAC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
103 CHICO CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONTE VISTA |
Zip Code Of The Provider |
811441065 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
511 |
Number Of Medicare Beneficiaries |
195 |
Total Submitted Charge Amount |
53191.77 |
Total Medicare Allowed Amount |
24089.99 |
Total Medicare Payment Amount |
14915.89 |
Total Medicare Standardized Payment Amount |
18791.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
34 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
346.77 |
Total Drug Medicare AllowedAmount |
215.81 |
Total Drug Medicare PaymentAmount |
203.98 |
Total Drug Medicare Standardized Payment Amount |
203.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
477 |
Number Of Medicare Beneficiaries With Medical Services |
195 |
Total Medical Submitted Charge Amount |
52845 |
Total Medical Medicare Allowed Amount |
23874.18 |
Total Medical Medicare Payment Amount |
14711.91 |
Total Medical Medicare Standardized Payment Amount |
18587.42 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
94 |
Number Of Beneficiaries Age 75 to 84 |
51 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
114 |
Number Of Male Beneficiaries |
81 |
Number Of Non Hispanic White Beneficiaries |
143 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
150 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
29 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0173 |