Medicare Facts for Dr. David L. Bolshoun, MD


National Provider Identifier [NPI]: 1174618086
Last Name Of The Provider BOLSHOUN
First Name Of The Provider DAVID
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 6311 E 14TH AVE
Street Address 2 Of The Provider
City Of The Provider DENVER
Zip Code Of The Provider 802202821
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 64
Number Of Services 1269
Number Of Medicare Beneficiaries 221
Total Submitted Charge Amount 100866
Total Medicare Allowed Amount 68939.56
Total Medicare Payment Amount 52349.4
Total Medicare Standardized Payment Amount 52749.93
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 106
Number Of Medicare Beneficiaries With Drug Services 81
Total Drug Submitted ChargeAmount 6800
Total Drug Medicare AllowedAmount 5993.25
Total Drug Medicare PaymentAmount 5871.76
Total Drug Medicare Standardized Payment Amount 5871.76
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 59
Number Of Medical Services 1163
Number Of Medicare Beneficiaries With Medical Services 221
Total Medical Submitted Charge Amount 94066
Total Medical Medicare Allowed Amount 62946.31
Total Medical Medicare Payment Amount 46477.64
Total Medical Medicare Standardized Payment Amount 46878.17
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 21
Number Of Beneficiaries Age 65 to 74 99
Number Of Beneficiaries Age 75 to 84 51
Number Of Beneficiaries Age Greater 84 50
Number Of Female Beneficiaries 123
Number Of Male Beneficiaries 98
Number Of Non Hispanic White Beneficiaries 168
Number Of Black or African American Beneficiaries 34
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 194
Number Of Beneficiaries With Medicare Medicaid Entitlement 27
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma
Percent Of With Cancer 11
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 22
Percent Of With Diabetes 22
Percent Of With Hyperlipidemia 40
Percent Of With Hypertension 53
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2191

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