National Provider Identifier [NPI]: |
1427287259 |
Last Name Of The Provider |
PLONSKA |
First Name Of The Provider |
JOANNA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6685 GUNPARK DR STE 110 |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOULDER |
Zip Code Of The Provider |
803013343 |
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 |
32 |
Number Of Services |
335 |
Number Of Medicare Beneficiaries |
135 |
Total Submitted Charge Amount |
30976 |
Total Medicare Allowed Amount |
21908.68 |
Total Medicare Payment Amount |
15896.67 |
Total Medicare Standardized Payment Amount |
15942.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
1127 |
Total Drug Medicare AllowedAmount |
1022.59 |
Total Drug Medicare PaymentAmount |
987.74 |
Total Drug Medicare Standardized Payment Amount |
987.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
308 |
Number Of Medicare Beneficiaries With Medical Services |
135 |
Total Medical Submitted Charge Amount |
29849 |
Total Medical Medicare Allowed Amount |
20886.09 |
Total Medical Medicare Payment Amount |
14908.93 |
Total Medical Medicare Standardized Payment Amount |
14954.9 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
68 |
Number Of Beneficiaries Age 75 to 84 |
44 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
104 |
Number Of Male Beneficiaries |
31 |
Number Of Non Hispanic White Beneficiaries |
123 |
Number Of Black or African American Beneficiaries |
0 |
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 |
124 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
12 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
17 |
Percent Of With Hypertension |
34 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7759 |