National Provider Identifier [NPI]: |
1861453789 |
Last Name Of The Provider |
HSIEH |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
501 E HAMPDEN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ENGLEWOOD |
Zip Code Of The Provider |
801132702 |
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 |
151 |
Number Of Services |
6940 |
Number Of Medicare Beneficiaries |
5089 |
Total Submitted Charge Amount |
705617 |
Total Medicare Allowed Amount |
209204.08 |
Total Medicare Payment Amount |
159768.57 |
Total Medicare Standardized Payment Amount |
161518.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
484 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
2117 |
Total Drug Medicare AllowedAmount |
575.07 |
Total Drug Medicare PaymentAmount |
448.69 |
Total Drug Medicare Standardized Payment Amount |
448.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
146 |
Number Of Medical Services |
6456 |
Number Of Medicare Beneficiaries With Medical Services |
5089 |
Total Medical Submitted Charge Amount |
703500 |
Total Medical Medicare Allowed Amount |
208629.01 |
Total Medical Medicare Payment Amount |
159319.88 |
Total Medical Medicare Standardized Payment Amount |
161070.27 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
761 |
Number Of Beneficiaries Age 65 to 74 |
2001 |
Number Of Beneficiaries Age 75 to 84 |
1408 |
Number Of Beneficiaries Age Greater 84 |
919 |
Number Of Female Beneficiaries |
3086 |
Number Of Male Beneficiaries |
2003 |
Number Of Non Hispanic White Beneficiaries |
4440 |
Number Of Black or African American Beneficiaries |
160 |
Number Of AsianPacific Islander Beneficiaries |
86 |
Number Of Hispanic Beneficiaries |
307 |
Number Of American Indian Alaska Native Beneficiaries |
27 |
Number Of Beneficiaries With Race Not Else where Classified |
69 |
Number Of Beneficiaries With Medicare Only Entitlement |
4088 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1001 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5307 |