National Provider Identifier [NPI]: |
1851343214 |
Last Name Of The Provider |
KIMURA |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8101 E LOWRY BLVD |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
DENVER |
Zip Code Of The Provider |
802307195 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
5554 |
Number Of Medicare Beneficiaries |
612 |
Total Submitted Charge Amount |
2788329 |
Total Medicare Allowed Amount |
1380321.45 |
Total Medicare Payment Amount |
1052635.93 |
Total Medicare Standardized Payment Amount |
1050191.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1720 |
Number Of Medicare Beneficiaries With Drug Services |
156 |
Total Drug Submitted ChargeAmount |
1989300 |
Total Drug Medicare AllowedAmount |
994689.37 |
Total Drug Medicare PaymentAmount |
772174.91 |
Total Drug Medicare Standardized Payment Amount |
772174.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
3834 |
Number Of Medicare Beneficiaries With Medical Services |
612 |
Total Medical Submitted Charge Amount |
799029 |
Total Medical Medicare Allowed Amount |
385632.08 |
Total Medical Medicare Payment Amount |
280461.02 |
Total Medical Medicare Standardized Payment Amount |
278016.18 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
221 |
Number Of Beneficiaries Age 75 to 84 |
206 |
Number Of Beneficiaries Age Greater 84 |
145 |
Number Of Female Beneficiaries |
339 |
Number Of Male Beneficiaries |
273 |
Number Of Non Hispanic White Beneficiaries |
539 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
566 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2528 |