National Provider Identifier [NPI]: |
1255407581 |
Last Name Of The Provider |
FRANTZ |
First Name Of The Provider |
PAULA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
232 W MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
STERLING |
Zip Code Of The Provider |
807513143 |
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 |
70 |
Number Of Services |
2611 |
Number Of Medicare Beneficiaries |
190 |
Total Submitted Charge Amount |
176142.05 |
Total Medicare Allowed Amount |
82342.35 |
Total Medicare Payment Amount |
57720.97 |
Total Medicare Standardized Payment Amount |
57377.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
1307 |
Number Of Medicare Beneficiaries With Drug Services |
73 |
Total Drug Submitted ChargeAmount |
13838.05 |
Total Drug Medicare AllowedAmount |
5770.94 |
Total Drug Medicare PaymentAmount |
4892.7 |
Total Drug Medicare Standardized Payment Amount |
4892.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
1304 |
Number Of Medicare Beneficiaries With Medical Services |
190 |
Total Medical Submitted Charge Amount |
162304 |
Total Medical Medicare Allowed Amount |
76571.41 |
Total Medical Medicare Payment Amount |
52828.27 |
Total Medical Medicare Standardized Payment Amount |
52484.54 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
72 |
Number Of Beneficiaries Age 75 to 84 |
51 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
122 |
Number Of Male Beneficiaries |
68 |
Number Of Non Hispanic White Beneficiaries |
173 |
Number Of Black or African American Beneficiaries |
|
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 |
132 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9881 |