National Provider Identifier [NPI]: |
1427289040 |
Last Name Of The Provider |
ABERNETHY |
First Name Of The Provider |
DURANT |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
360 PEAK ONE DRIVE |
Street Address 2 Of The Provider |
SUITE 260 |
City Of The Provider |
FRISCO |
Zip Code Of The Provider |
80443 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
1011 |
Number Of Medicare Beneficiaries |
252 |
Total Submitted Charge Amount |
117267 |
Total Medicare Allowed Amount |
59930.05 |
Total Medicare Payment Amount |
39503.01 |
Total Medicare Standardized Payment Amount |
39568.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
212 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
5013 |
Total Drug Medicare AllowedAmount |
4054.27 |
Total Drug Medicare PaymentAmount |
3467.81 |
Total Drug Medicare Standardized Payment Amount |
3467.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
799 |
Number Of Medicare Beneficiaries With Medical Services |
252 |
Total Medical Submitted Charge Amount |
112254 |
Total Medical Medicare Allowed Amount |
55875.78 |
Total Medical Medicare Payment Amount |
36035.2 |
Total Medical Medicare Standardized Payment Amount |
36100.38 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
60 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
100 |
Number Of Male Beneficiaries |
152 |
Number Of Non Hispanic White Beneficiaries |
234 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
238 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
38 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8544 |