National Provider Identifier [NPI]: |
1598851404 |
Last Name Of The Provider |
TURNER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
170 PARKSIDE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLORADO SPRINGS |
Zip Code Of The Provider |
809103129 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
7603 |
Number Of Medicare Beneficiaries |
1198 |
Total Submitted Charge Amount |
663071 |
Total Medicare Allowed Amount |
389434.2 |
Total Medicare Payment Amount |
284483.39 |
Total Medicare Standardized Payment Amount |
277765.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
219 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
4176 |
Total Drug Medicare AllowedAmount |
2817.85 |
Total Drug Medicare PaymentAmount |
2193.09 |
Total Drug Medicare Standardized Payment Amount |
2193.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
7384 |
Number Of Medicare Beneficiaries With Medical Services |
1198 |
Total Medical Submitted Charge Amount |
658895 |
Total Medical Medicare Allowed Amount |
386616.35 |
Total Medical Medicare Payment Amount |
282290.3 |
Total Medical Medicare Standardized Payment Amount |
275572.7 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
550 |
Number Of Beneficiaries Age 75 to 84 |
396 |
Number Of Beneficiaries Age Greater 84 |
139 |
Number Of Female Beneficiaries |
558 |
Number Of Male Beneficiaries |
640 |
Number Of Non Hispanic White Beneficiaries |
1061 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
93 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1099 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9944 |