National Provider Identifier [NPI]: |
1952582637 |
Last Name Of The Provider |
BOYLE |
First Name Of The Provider |
SHEILA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9101 HARLAN ST |
Street Address 2 Of The Provider |
STE 155 |
City Of The Provider |
WESTMINSTER |
Zip Code Of The Provider |
800312924 |
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 |
29 |
Number Of Services |
2817 |
Number Of Medicare Beneficiaries |
529 |
Total Submitted Charge Amount |
283614 |
Total Medicare Allowed Amount |
189315.98 |
Total Medicare Payment Amount |
136069.3 |
Total Medicare Standardized Payment Amount |
134975.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
67 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
12010 |
Total Drug Medicare AllowedAmount |
8982.37 |
Total Drug Medicare PaymentAmount |
7013.29 |
Total Drug Medicare Standardized Payment Amount |
7013.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
2750 |
Number Of Medicare Beneficiaries With Medical Services |
528 |
Total Medical Submitted Charge Amount |
271604 |
Total Medical Medicare Allowed Amount |
180333.61 |
Total Medical Medicare Payment Amount |
129056.01 |
Total Medical Medicare Standardized Payment Amount |
127962.04 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
281 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
330 |
Number Of Male Beneficiaries |
199 |
Number Of Non Hispanic White Beneficiaries |
507 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
518 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8853 |