National Provider Identifier [NPI]: |
1144304205 |
Last Name Of The Provider |
JOY |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1721 E 19TH AVE |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
DENVER |
Zip Code Of The Provider |
802181251 |
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 |
22 |
Number Of Services |
280 |
Number Of Medicare Beneficiaries |
143 |
Total Submitted Charge Amount |
38831.42 |
Total Medicare Allowed Amount |
18890.58 |
Total Medicare Payment Amount |
13859.85 |
Total Medicare Standardized Payment Amount |
13858.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
24 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
1039 |
Total Drug Medicare AllowedAmount |
749.99 |
Total Drug Medicare PaymentAmount |
734.98 |
Total Drug Medicare Standardized Payment Amount |
734.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
256 |
Number Of Medicare Beneficiaries With Medical Services |
142 |
Total Medical Submitted Charge Amount |
37792.42 |
Total Medical Medicare Allowed Amount |
18140.59 |
Total Medical Medicare Payment Amount |
13124.87 |
Total Medical Medicare Standardized Payment Amount |
13123.47 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
53 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
89 |
Number Of Male Beneficiaries |
54 |
Number Of Non Hispanic White Beneficiaries |
64 |
Number Of Black or African American Beneficiaries |
40 |
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 |
62 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.6367 |