National Provider Identifier [NPI]: |
1730181363 |
Last Name Of The Provider |
ROBINSON |
First Name Of The Provider |
ANNE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1107 SOUTH LEMAY AVENUE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
FORT COLLINS |
Zip Code Of The Provider |
805244066 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
1492 |
Number Of Medicare Beneficiaries |
417 |
Total Submitted Charge Amount |
142518 |
Total Medicare Allowed Amount |
90287.34 |
Total Medicare Payment Amount |
64262.87 |
Total Medicare Standardized Payment Amount |
64482.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
131 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
3568 |
Total Drug Medicare AllowedAmount |
3238.89 |
Total Drug Medicare PaymentAmount |
3111.56 |
Total Drug Medicare Standardized Payment Amount |
3111.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
1361 |
Number Of Medicare Beneficiaries With Medical Services |
416 |
Total Medical Submitted Charge Amount |
138950 |
Total Medical Medicare Allowed Amount |
87048.45 |
Total Medical Medicare Payment Amount |
61151.31 |
Total Medical Medicare Standardized Payment Amount |
61370.89 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
212 |
Number Of Beneficiaries Age 75 to 84 |
109 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
283 |
Number Of Male Beneficiaries |
134 |
Number Of Non Hispanic White Beneficiaries |
381 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
365 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
25 |
Percent Of With Hypertension |
38 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9243 |