National Provider Identifier [NPI]: |
1003813270 |
Last Name Of The Provider |
PFEIFER |
First Name Of The Provider |
LYLE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1925 W MOUNTAIN VIEW AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LONGMONT |
Zip Code Of The Provider |
805013128 |
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 |
106 |
Number Of Services |
4755 |
Number Of Medicare Beneficiaries |
460 |
Total Submitted Charge Amount |
190947.38 |
Total Medicare Allowed Amount |
147330.42 |
Total Medicare Payment Amount |
106517.05 |
Total Medicare Standardized Payment Amount |
106567.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
963 |
Number Of Medicare Beneficiaries With Drug Services |
124 |
Total Drug Submitted ChargeAmount |
5716 |
Total Drug Medicare AllowedAmount |
3662.06 |
Total Drug Medicare PaymentAmount |
3516.78 |
Total Drug Medicare Standardized Payment Amount |
3516.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
3792 |
Number Of Medicare Beneficiaries With Medical Services |
460 |
Total Medical Submitted Charge Amount |
185231.38 |
Total Medical Medicare Allowed Amount |
143668.36 |
Total Medical Medicare Payment Amount |
103000.27 |
Total Medical Medicare Standardized Payment Amount |
103050.5 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
206 |
Number Of Beneficiaries Age 75 to 84 |
155 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
227 |
Number Of Male Beneficiaries |
233 |
Number Of Non Hispanic White Beneficiaries |
417 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
422 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
23 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8584 |