National Provider Identifier [NPI]: |
1851476485 |
Last Name Of The Provider |
NORRIS |
First Name Of The Provider |
ERIKA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
131 STANLEY AVE |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
ESTES PARK |
Zip Code Of The Provider |
805176363 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
1028 |
Number Of Medicare Beneficiaries |
286 |
Total Submitted Charge Amount |
119584.57 |
Total Medicare Allowed Amount |
64183.88 |
Total Medicare Payment Amount |
45678.55 |
Total Medicare Standardized Payment Amount |
45517.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
56 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
2579.82 |
Total Drug Medicare AllowedAmount |
1398.71 |
Total Drug Medicare PaymentAmount |
1360.63 |
Total Drug Medicare Standardized Payment Amount |
1360.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
972 |
Number Of Medicare Beneficiaries With Medical Services |
286 |
Total Medical Submitted Charge Amount |
117004.75 |
Total Medical Medicare Allowed Amount |
62785.17 |
Total Medical Medicare Payment Amount |
44317.92 |
Total Medical Medicare Standardized Payment Amount |
44156.71 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
140 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
202 |
Number Of Male Beneficiaries |
84 |
Number Of Non Hispanic White Beneficiaries |
272 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
257 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.8875 |