National Provider Identifier [NPI]: |
1174518609 |
Last Name Of The Provider |
CHARNEY |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 SPRUCE ST |
Street Address 2 Of The Provider |
100 |
City Of The Provider |
DENVER |
Zip Code Of The Provider |
802307126 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
40265 |
Number Of Medicare Beneficiaries |
446 |
Total Submitted Charge Amount |
2963928.31 |
Total Medicare Allowed Amount |
1657015.32 |
Total Medicare Payment Amount |
1252944.31 |
Total Medicare Standardized Payment Amount |
1249933.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
37246 |
Number Of Medicare Beneficiaries With Drug Services |
179 |
Total Drug Submitted ChargeAmount |
2370563.31 |
Total Drug Medicare AllowedAmount |
1461660.22 |
Total Drug Medicare PaymentAmount |
1108096.94 |
Total Drug Medicare Standardized Payment Amount |
1108096.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
3019 |
Number Of Medicare Beneficiaries With Medical Services |
446 |
Total Medical Submitted Charge Amount |
593365 |
Total Medical Medicare Allowed Amount |
195355.1 |
Total Medical Medicare Payment Amount |
144847.37 |
Total Medical Medicare Standardized Payment Amount |
141836.1 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
209 |
Number Of Beneficiaries Age 75 to 84 |
130 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
351 |
Number Of Male Beneficiaries |
95 |
Number Of Non Hispanic White Beneficiaries |
385 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
407 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1182 |