National Provider Identifier [NPI]: |
1689753865 |
Last Name Of The Provider |
HARRIGAN |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
502 GREENWOOD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CANON CITY |
Zip Code Of The Provider |
812123336 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
5920 |
Number Of Medicare Beneficiaries |
695 |
Total Submitted Charge Amount |
415147.19 |
Total Medicare Allowed Amount |
308788.01 |
Total Medicare Payment Amount |
228686.51 |
Total Medicare Standardized Payment Amount |
228933.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3047 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
138691.72 |
Total Drug Medicare AllowedAmount |
97179.39 |
Total Drug Medicare PaymentAmount |
75941.7 |
Total Drug Medicare Standardized Payment Amount |
75941.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
2873 |
Number Of Medicare Beneficiaries With Medical Services |
695 |
Total Medical Submitted Charge Amount |
276455.47 |
Total Medical Medicare Allowed Amount |
211608.62 |
Total Medical Medicare Payment Amount |
152744.81 |
Total Medical Medicare Standardized Payment Amount |
152991.31 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
257 |
Number Of Beneficiaries Age 75 to 84 |
273 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
159 |
Number Of Male Beneficiaries |
536 |
Number Of Non Hispanic White Beneficiaries |
654 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
569 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1986 |