National Provider Identifier [NPI]: |
1477731362 |
Last Name Of The Provider |
SEELEY |
First Name Of The Provider |
CHERI |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
PHYSICIAN ASSISTANT |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 INDIANA STREET |
Street Address 2 Of The Provider |
NATIONAL JEWISH GOLDEN |
City Of The Provider |
GOLDEN |
Zip Code Of The Provider |
80401 |
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 |
57 |
Number Of Services |
4668 |
Number Of Medicare Beneficiaries |
79 |
Total Submitted Charge Amount |
322528.78 |
Total Medicare Allowed Amount |
111610.74 |
Total Medicare Payment Amount |
87347.23 |
Total Medicare Standardized Payment Amount |
88220.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
31 |
Number Of Drug Services |
4366 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
288668.28 |
Total Drug Medicare AllowedAmount |
99705.24 |
Total Drug Medicare PaymentAmount |
78056.55 |
Total Drug Medicare Standardized Payment Amount |
78056.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
302 |
Number Of Medicare Beneficiaries With Medical Services |
79 |
Total Medical Submitted Charge Amount |
33860.5 |
Total Medical Medicare Allowed Amount |
11905.5 |
Total Medical Medicare Payment Amount |
9290.68 |
Total Medical Medicare Standardized Payment Amount |
10164.02 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
27 |
Number Of Beneficiaries Age 75 to 84 |
32 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
31 |
Number Of Male Beneficiaries |
48 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
|
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.9498 |