National Provider Identifier [NPI]: |
1205022183 |
Last Name Of The Provider |
BUDAGHER |
First Name Of The Provider |
BARBARA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
836 S TOWNSEND AVE STE C |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONTROSE |
Zip Code Of The Provider |
814014360 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
844 |
Number Of Medicare Beneficiaries |
314 |
Total Submitted Charge Amount |
47445 |
Total Medicare Allowed Amount |
35397.88 |
Total Medicare Payment Amount |
23292.86 |
Total Medicare Standardized Payment Amount |
29124.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
342 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
2134 |
Total Drug Medicare AllowedAmount |
366.16 |
Total Drug Medicare PaymentAmount |
260.47 |
Total Drug Medicare Standardized Payment Amount |
260.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
502 |
Number Of Medicare Beneficiaries With Medical Services |
314 |
Total Medical Submitted Charge Amount |
45311 |
Total Medical Medicare Allowed Amount |
35031.72 |
Total Medical Medicare Payment Amount |
23032.39 |
Total Medical Medicare Standardized Payment Amount |
28863.63 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
66 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
179 |
Number Of Male Beneficiaries |
135 |
Number Of Non Hispanic White Beneficiaries |
280 |
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 |
255 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
7 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
7 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
30 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7521 |