National Provider Identifier [NPI]: |
1104081439 |
Last Name Of The Provider |
PARKER |
First Name Of The Provider |
RHONDA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
910 S 4TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONTROSE |
Zip Code Of The Provider |
814014226 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
120 |
Number Of Services |
2146 |
Number Of Medicare Beneficiaries |
300 |
Total Submitted Charge Amount |
416729.2 |
Total Medicare Allowed Amount |
146194.57 |
Total Medicare Payment Amount |
110309.75 |
Total Medicare Standardized Payment Amount |
111067.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1056 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
23376 |
Total Drug Medicare AllowedAmount |
11651.75 |
Total Drug Medicare PaymentAmount |
9127.31 |
Total Drug Medicare Standardized Payment Amount |
9127.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
118 |
Number Of Medical Services |
1090 |
Number Of Medicare Beneficiaries With Medical Services |
300 |
Total Medical Submitted Charge Amount |
393353.2 |
Total Medical Medicare Allowed Amount |
134542.82 |
Total Medical Medicare Payment Amount |
101182.44 |
Total Medical Medicare Standardized Payment Amount |
101940.31 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
75 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
190 |
Number Of Male Beneficiaries |
110 |
Number Of Non Hispanic White Beneficiaries |
271 |
Number Of Black or African American Beneficiaries |
|
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 |
256 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
27 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.975 |