National Provider Identifier [NPI]: |
1730129859 |
Last Name Of The Provider |
ABRAMSON |
First Name Of The Provider |
SIMEON |
Middle Initial Of The Provider |
D |
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 |
138 |
Number Of Services |
6005 |
Number Of Medicare Beneficiaries |
2832 |
Total Submitted Charge Amount |
489992.5 |
Total Medicare Allowed Amount |
164485.25 |
Total Medicare Payment Amount |
125776.04 |
Total Medicare Standardized Payment Amount |
126927.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2013 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
2111 |
Total Drug Medicare AllowedAmount |
373.3 |
Total Drug Medicare PaymentAmount |
292.65 |
Total Drug Medicare Standardized Payment Amount |
292.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
136 |
Number Of Medical Services |
3992 |
Number Of Medicare Beneficiaries With Medical Services |
2832 |
Total Medical Submitted Charge Amount |
487881.5 |
Total Medical Medicare Allowed Amount |
164111.95 |
Total Medical Medicare Payment Amount |
125483.39 |
Total Medical Medicare Standardized Payment Amount |
126634.86 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
447 |
Number Of Beneficiaries Age 65 to 74 |
1013 |
Number Of Beneficiaries Age 75 to 84 |
816 |
Number Of Beneficiaries Age Greater 84 |
556 |
Number Of Female Beneficiaries |
1599 |
Number Of Male Beneficiaries |
1233 |
Number Of Non Hispanic White Beneficiaries |
2441 |
Number Of Black or African American Beneficiaries |
98 |
Number Of AsianPacific Islander Beneficiaries |
43 |
Number Of Hispanic Beneficiaries |
197 |
Number Of American Indian Alaska Native Beneficiaries |
23 |
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
2263 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
569 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.892 |