National Provider Identifier [NPI]: |
1679624266 |
Last Name Of The Provider |
ORTON |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7336 S YOSEMITE ST |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
CENTENNIAL |
Zip Code Of The Provider |
801122340 |
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 |
99 |
Number Of Services |
2705 |
Number Of Medicare Beneficiaries |
335 |
Total Submitted Charge Amount |
319984.1 |
Total Medicare Allowed Amount |
207590.47 |
Total Medicare Payment Amount |
155537.19 |
Total Medicare Standardized Payment Amount |
151539.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
19 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
3916.4 |
Total Drug Medicare AllowedAmount |
3634.7 |
Total Drug Medicare PaymentAmount |
2768.76 |
Total Drug Medicare Standardized Payment Amount |
2768.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
2686 |
Number Of Medicare Beneficiaries With Medical Services |
335 |
Total Medical Submitted Charge Amount |
316067.7 |
Total Medical Medicare Allowed Amount |
203955.77 |
Total Medical Medicare Payment Amount |
152768.43 |
Total Medical Medicare Standardized Payment Amount |
148770.59 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
109 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
161 |
Number Of Male Beneficiaries |
174 |
Number Of Non Hispanic White Beneficiaries |
322 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
43 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8964 |