National Provider Identifier [NPI]: |
1831202241 |
Last Name Of The Provider |
POWERS |
First Name Of The Provider |
BERNARD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10103 RIDGEGATE PKWY |
Street Address 2 Of The Provider |
STE 312 |
City Of The Provider |
LONE TREE |
Zip Code Of The Provider |
801245520 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
1753 |
Number Of Medicare Beneficiaries |
426 |
Total Submitted Charge Amount |
444197.5 |
Total Medicare Allowed Amount |
186431.12 |
Total Medicare Payment Amount |
143075.19 |
Total Medicare Standardized Payment Amount |
144902.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
912 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
80117.5 |
Total Drug Medicare AllowedAmount |
65892.21 |
Total Drug Medicare PaymentAmount |
51313.75 |
Total Drug Medicare Standardized Payment Amount |
51313.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
841 |
Number Of Medicare Beneficiaries With Medical Services |
426 |
Total Medical Submitted Charge Amount |
364080 |
Total Medical Medicare Allowed Amount |
120538.91 |
Total Medical Medicare Payment Amount |
91761.44 |
Total Medical Medicare Standardized Payment Amount |
93588.31 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
220 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
229 |
Number Of Male Beneficiaries |
197 |
Number Of Non Hispanic White Beneficiaries |
394 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
394 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2416 |