National Provider Identifier [NPI]: |
1033176235 |
Last Name Of The Provider |
REED |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1017 W 7TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WRAY |
Zip Code Of The Provider |
807581420 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
1782 |
Number Of Medicare Beneficiaries |
465 |
Total Submitted Charge Amount |
131604.16 |
Total Medicare Allowed Amount |
93958.77 |
Total Medicare Payment Amount |
66338.05 |
Total Medicare Standardized Payment Amount |
66370.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
249 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
2513 |
Total Drug Medicare AllowedAmount |
1703.62 |
Total Drug Medicare PaymentAmount |
1595.5 |
Total Drug Medicare Standardized Payment Amount |
1595.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
1533 |
Number Of Medicare Beneficiaries With Medical Services |
465 |
Total Medical Submitted Charge Amount |
129091.16 |
Total Medical Medicare Allowed Amount |
92255.15 |
Total Medical Medicare Payment Amount |
64742.55 |
Total Medical Medicare Standardized Payment Amount |
64775.32 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
200 |
Number Of Beneficiaries Age 75 to 84 |
135 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
259 |
Number Of Male Beneficiaries |
206 |
Number Of Non Hispanic White Beneficiaries |
446 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
373 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
17 |
Percent Of With Hypertension |
28 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8882 |