National Provider Identifier [NPI]: |
1225005770 |
Last Name Of The Provider |
STRICKLING |
First Name Of The Provider |
WILLIAM |
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 |
1633 MEDICAL CENTER POINT |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLORADO SPRINGS |
Zip Code Of The Provider |
80907 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
6973 |
Number Of Medicare Beneficiaries |
1062 |
Total Submitted Charge Amount |
828400 |
Total Medicare Allowed Amount |
476130 |
Total Medicare Payment Amount |
347407.64 |
Total Medicare Standardized Payment Amount |
345434.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
373 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
53614 |
Total Drug Medicare AllowedAmount |
41911.04 |
Total Drug Medicare PaymentAmount |
32731.83 |
Total Drug Medicare Standardized Payment Amount |
32731.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
6600 |
Number Of Medicare Beneficiaries With Medical Services |
1062 |
Total Medical Submitted Charge Amount |
774786 |
Total Medical Medicare Allowed Amount |
434218.96 |
Total Medical Medicare Payment Amount |
314675.81 |
Total Medical Medicare Standardized Payment Amount |
312702.23 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
558 |
Number Of Beneficiaries Age 75 to 84 |
315 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
530 |
Number Of Male Beneficiaries |
532 |
Number Of Non Hispanic White Beneficiaries |
972 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1020 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9281 |