National Provider Identifier [NPI]: |
1518942309 |
Last Name Of The Provider |
HILL |
First Name Of The Provider |
STANLEY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
17560 S GOLDEN RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
GOLDEN |
Zip Code Of The Provider |
804012694 |
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 |
86 |
Number Of Services |
3729 |
Number Of Medicare Beneficiaries |
586 |
Total Submitted Charge Amount |
368082.5 |
Total Medicare Allowed Amount |
248668.72 |
Total Medicare Payment Amount |
179792.45 |
Total Medicare Standardized Payment Amount |
178895.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
113 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
34145 |
Total Drug Medicare AllowedAmount |
25897.57 |
Total Drug Medicare PaymentAmount |
20195.49 |
Total Drug Medicare Standardized Payment Amount |
20195.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
3616 |
Number Of Medicare Beneficiaries With Medical Services |
586 |
Total Medical Submitted Charge Amount |
333937.5 |
Total Medical Medicare Allowed Amount |
222771.15 |
Total Medical Medicare Payment Amount |
159596.96 |
Total Medical Medicare Standardized Payment Amount |
158700.5 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
284 |
Number Of Beneficiaries Age 75 to 84 |
200 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
251 |
Number Of Male Beneficiaries |
335 |
Number Of Non Hispanic White Beneficiaries |
554 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
570 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.9586 |