National Provider Identifier [NPI]: |
1942304670 |
Last Name Of The Provider |
HARLOW |
First Name Of The Provider |
CURTIS |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
124 W PITKIN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PUEBLO |
Zip Code Of The Provider |
810042021 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
210 |
Number Of Services |
8743 |
Number Of Medicare Beneficiaries |
4741 |
Total Submitted Charge Amount |
885519.75 |
Total Medicare Allowed Amount |
249120.16 |
Total Medicare Payment Amount |
183149.08 |
Total Medicare Standardized Payment Amount |
185480.56 |
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 |
210 |
Number Of Medical Services |
8743 |
Number Of Medicare Beneficiaries With Medical Services |
4741 |
Total Medical Submitted Charge Amount |
885519.75 |
Total Medical Medicare Allowed Amount |
249120.16 |
Total Medical Medicare Payment Amount |
183149.08 |
Total Medical Medicare Standardized Payment Amount |
185480.56 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
1023 |
Number Of Beneficiaries Age 65 to 74 |
1658 |
Number Of Beneficiaries Age 75 to 84 |
1365 |
Number Of Beneficiaries Age Greater 84 |
695 |
Number Of Female Beneficiaries |
2874 |
Number Of Male Beneficiaries |
1867 |
Number Of Non Hispanic White Beneficiaries |
3710 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
919 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
40 |
Number Of Beneficiaries With Medicare Only Entitlement |
3422 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1319 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3775 |