National Provider Identifier [NPI]: |
1649306390 |
Last Name Of The Provider |
PREECE |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10700 E GEDDES AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
ENGLEWOOD |
Zip Code Of The Provider |
801123800 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
6405 |
Number Of Medicare Beneficiaries |
2845 |
Total Submitted Charge Amount |
1102287.5 |
Total Medicare Allowed Amount |
289594.57 |
Total Medicare Payment Amount |
219657.33 |
Total Medicare Standardized Payment Amount |
223276.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2739 |
Number Of Medicare Beneficiaries With Drug Services |
109 |
Total Drug Submitted ChargeAmount |
11089 |
Total Drug Medicare AllowedAmount |
2701.36 |
Total Drug Medicare PaymentAmount |
2117.96 |
Total Drug Medicare Standardized Payment Amount |
2117.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
3666 |
Number Of Medicare Beneficiaries With Medical Services |
2845 |
Total Medical Submitted Charge Amount |
1091198.5 |
Total Medical Medicare Allowed Amount |
286893.21 |
Total Medical Medicare Payment Amount |
217539.37 |
Total Medical Medicare Standardized Payment Amount |
221158.84 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
390 |
Number Of Beneficiaries Age 65 to 74 |
1054 |
Number Of Beneficiaries Age 75 to 84 |
837 |
Number Of Beneficiaries Age Greater 84 |
564 |
Number Of Female Beneficiaries |
1644 |
Number Of Male Beneficiaries |
1201 |
Number Of Non Hispanic White Beneficiaries |
2514 |
Number Of Black or African American Beneficiaries |
67 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
173 |
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
45 |
Number Of Beneficiaries With Medicare Only Entitlement |
2334 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
511 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.4883 |