National Provider Identifier [NPI]: |
1609883081 |
Last Name Of The Provider |
HOOVER |
First Name Of The Provider |
AARON |
Middle Initial Of The Provider |
Z |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
776 W EISENHOWER BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOVELAND |
Zip Code Of The Provider |
805373157 |
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 |
77 |
Number Of Services |
4783 |
Number Of Medicare Beneficiaries |
895 |
Total Submitted Charge Amount |
490726.79 |
Total Medicare Allowed Amount |
288398.76 |
Total Medicare Payment Amount |
210505.42 |
Total Medicare Standardized Payment Amount |
202660.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
7103 |
Total Drug Medicare AllowedAmount |
5187.37 |
Total Drug Medicare PaymentAmount |
3967.4 |
Total Drug Medicare Standardized Payment Amount |
3967.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
4756 |
Number Of Medicare Beneficiaries With Medical Services |
895 |
Total Medical Submitted Charge Amount |
483623.79 |
Total Medical Medicare Allowed Amount |
283211.39 |
Total Medical Medicare Payment Amount |
206538.02 |
Total Medical Medicare Standardized Payment Amount |
198692.75 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
406 |
Number Of Beneficiaries Age 75 to 84 |
268 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
480 |
Number Of Male Beneficiaries |
415 |
Number Of Non Hispanic White Beneficiaries |
822 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
800 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
95 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.9845 |