National Provider Identifier [NPI]: |
1952394470 |
Last Name Of The Provider |
EIGNER |
First Name Of The Provider |
EDWARD |
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 |
799 E HAMPDEN AVE |
Street Address 2 Of The Provider |
SUITE 430 |
City Of The Provider |
ENGLEWOOD |
Zip Code Of The Provider |
801132700 |
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 |
88 |
Number Of Services |
4679 |
Number Of Medicare Beneficiaries |
940 |
Total Submitted Charge Amount |
607380.7 |
Total Medicare Allowed Amount |
577629.5 |
Total Medicare Payment Amount |
433865.95 |
Total Medicare Standardized Payment Amount |
440289.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
896 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
259545.62 |
Total Drug Medicare AllowedAmount |
252722.61 |
Total Drug Medicare PaymentAmount |
197978.47 |
Total Drug Medicare Standardized Payment Amount |
197978.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
3783 |
Number Of Medicare Beneficiaries With Medical Services |
940 |
Total Medical Submitted Charge Amount |
347835.08 |
Total Medical Medicare Allowed Amount |
324906.89 |
Total Medical Medicare Payment Amount |
235887.48 |
Total Medical Medicare Standardized Payment Amount |
242311.17 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
506 |
Number Of Beneficiaries Age 75 to 84 |
313 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
134 |
Number Of Male Beneficiaries |
806 |
Number Of Non Hispanic White Beneficiaries |
885 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
916 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
35 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0554 |