National Provider Identifier [NPI]: |
1598850968 |
Last Name Of The Provider |
RODRIGUEZ |
First Name Of The Provider |
RAMONA |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9399 CROWN CREST BLVD STE 200 |
Street Address 2 Of The Provider |
|
City Of The Provider |
PARKER |
Zip Code Of The Provider |
801388508 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
499 |
Number Of Medicare Beneficiaries |
160 |
Total Submitted Charge Amount |
92189 |
Total Medicare Allowed Amount |
46166.82 |
Total Medicare Payment Amount |
35981.55 |
Total Medicare Standardized Payment Amount |
36801.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
51 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
3124 |
Total Drug Medicare AllowedAmount |
2227.04 |
Total Drug Medicare PaymentAmount |
2106.09 |
Total Drug Medicare Standardized Payment Amount |
2106.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
448 |
Number Of Medicare Beneficiaries With Medical Services |
159 |
Total Medical Submitted Charge Amount |
89065 |
Total Medical Medicare Allowed Amount |
43939.78 |
Total Medical Medicare Payment Amount |
33875.46 |
Total Medical Medicare Standardized Payment Amount |
34695.09 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
103 |
Number Of Beneficiaries Age 75 to 84 |
35 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
109 |
Number Of Male Beneficiaries |
51 |
Number Of Non Hispanic White Beneficiaries |
136 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
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 |
10 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8961 |