National Provider Identifier [NPI]: |
1689638793 |
Last Name Of The Provider |
ADAMS |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1830 BLAKE AVE |
Street Address 2 Of The Provider |
STE 206 |
City Of The Provider |
GLENWOOD SPGS |
Zip Code Of The Provider |
816014275 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
509 |
Number Of Medicare Beneficiaries |
107 |
Total Submitted Charge Amount |
277801 |
Total Medicare Allowed Amount |
61298.34 |
Total Medicare Payment Amount |
47636.44 |
Total Medicare Standardized Payment Amount |
47295.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
211 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
27557 |
Total Drug Medicare AllowedAmount |
8280.82 |
Total Drug Medicare PaymentAmount |
6492.15 |
Total Drug Medicare Standardized Payment Amount |
6492.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
298 |
Number Of Medicare Beneficiaries With Medical Services |
107 |
Total Medical Submitted Charge Amount |
250244 |
Total Medical Medicare Allowed Amount |
53017.52 |
Total Medical Medicare Payment Amount |
41144.29 |
Total Medical Medicare Standardized Payment Amount |
40803.56 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
57 |
Number Of Beneficiaries Age 75 to 84 |
33 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
69 |
Number Of Male Beneficiaries |
38 |
Number Of Non Hispanic White Beneficiaries |
94 |
Number Of Black or African American Beneficiaries |
0 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
25 |
Percent Of With Diabetes |
|
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7176 |