National Provider Identifier [NPI]: |
1730181405 |
Last Name Of The Provider |
PAPADEAS |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1390 S POTOMAC ST |
Street Address 2 Of The Provider |
SUITE 124 |
City Of The Provider |
AURORA |
Zip Code Of The Provider |
800126165 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
5612 |
Number Of Medicare Beneficiaries |
1081 |
Total Submitted Charge Amount |
479978 |
Total Medicare Allowed Amount |
314262.79 |
Total Medicare Payment Amount |
226809.11 |
Total Medicare Standardized Payment Amount |
221823.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
181 |
Number Of Medicare Beneficiaries With Drug Services |
118 |
Total Drug Submitted ChargeAmount |
52392 |
Total Drug Medicare AllowedAmount |
39920.27 |
Total Drug Medicare PaymentAmount |
31090.35 |
Total Drug Medicare Standardized Payment Amount |
31090.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
5431 |
Number Of Medicare Beneficiaries With Medical Services |
1081 |
Total Medical Submitted Charge Amount |
427586 |
Total Medical Medicare Allowed Amount |
274342.52 |
Total Medical Medicare Payment Amount |
195718.76 |
Total Medical Medicare Standardized Payment Amount |
190733.03 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
647 |
Number Of Beneficiaries Age 75 to 84 |
308 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
509 |
Number Of Male Beneficiaries |
572 |
Number Of Non Hispanic White Beneficiaries |
1016 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1045 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.7991 |