National Provider Identifier [NPI]: |
1417163205 |
Last Name Of The Provider |
O'NEIL |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1725 E BOULDER ST |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
COLORADO SPRINGS |
Zip Code Of The Provider |
809095768 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
1549 |
Number Of Medicare Beneficiaries |
734 |
Total Submitted Charge Amount |
334312 |
Total Medicare Allowed Amount |
178706.6 |
Total Medicare Payment Amount |
125595.61 |
Total Medicare Standardized Payment Amount |
135492 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
1549 |
Number Of Medicare Beneficiaries With Medical Services |
734 |
Total Medical Submitted Charge Amount |
334312 |
Total Medical Medicare Allowed Amount |
178706.6 |
Total Medical Medicare Payment Amount |
125595.61 |
Total Medical Medicare Standardized Payment Amount |
135492 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
208 |
Number Of Beneficiaries Age 65 to 74 |
293 |
Number Of Beneficiaries Age 75 to 84 |
168 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
363 |
Number Of Male Beneficiaries |
371 |
Number Of Non Hispanic White Beneficiaries |
643 |
Number Of Black or African American Beneficiaries |
65 |
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 |
540 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
194 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.3574 |