National Provider Identifier [NPI]: |
1255334637 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
ANNE |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1300 E 20TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHEYENNE |
Zip Code Of The Provider |
820014021 |
State Code Of The Provider |
WY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
9081 |
Number Of Medicare Beneficiaries |
2920 |
Total Submitted Charge Amount |
4037074.06 |
Total Medicare Allowed Amount |
1156421.73 |
Total Medicare Payment Amount |
827940.74 |
Total Medicare Standardized Payment Amount |
803236.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
9081 |
Number Of Medicare Beneficiaries With Medical Services |
2920 |
Total Medical Submitted Charge Amount |
4037074.06 |
Total Medical Medicare Allowed Amount |
1156421.73 |
Total Medical Medicare Payment Amount |
827940.74 |
Total Medical Medicare Standardized Payment Amount |
803236.21 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
129 |
Number Of Beneficiaries Age 65 to 74 |
1196 |
Number Of Beneficiaries Age 75 to 84 |
1127 |
Number Of Beneficiaries Age Greater 84 |
468 |
Number Of Female Beneficiaries |
1847 |
Number Of Male Beneficiaries |
1073 |
Number Of Non Hispanic White Beneficiaries |
2593 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
201 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
60 |
Number Of Beneficiaries With Medicare Only Entitlement |
2714 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
206 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9407 |