National Provider Identifier [NPI]: |
1629273321 |
Last Name Of The Provider |
NOON |
First Name Of The Provider |
AMBER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3885 UPHAM ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
WHEAT RIDGE |
Zip Code Of The Provider |
800334880 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
14845 |
Number Of Medicare Beneficiaries |
214 |
Total Submitted Charge Amount |
192792.66 |
Total Medicare Allowed Amount |
89225.93 |
Total Medicare Payment Amount |
68736.15 |
Total Medicare Standardized Payment Amount |
69392.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
14103 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
44302.66 |
Total Drug Medicare AllowedAmount |
10682.76 |
Total Drug Medicare PaymentAmount |
8369.29 |
Total Drug Medicare Standardized Payment Amount |
8369.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
742 |
Number Of Medicare Beneficiaries With Medical Services |
214 |
Total Medical Submitted Charge Amount |
148490 |
Total Medical Medicare Allowed Amount |
78543.17 |
Total Medical Medicare Payment Amount |
60366.86 |
Total Medical Medicare Standardized Payment Amount |
61023.1 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
67 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
99 |
Number Of Male Beneficiaries |
115 |
Number Of Non Hispanic White Beneficiaries |
173 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
164 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
2.6399 |