National Provider Identifier [NPI]: |
1316921976 |
Last Name Of The Provider |
COHN |
First Name Of The Provider |
ALLEN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1800 WILLIAMS ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
DENVER |
Zip Code Of The Provider |
802181234 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
144 |
Number Of Services |
58170 |
Number Of Medicare Beneficiaries |
443 |
Total Submitted Charge Amount |
5018068 |
Total Medicare Allowed Amount |
1544912.38 |
Total Medicare Payment Amount |
1175374.66 |
Total Medicare Standardized Payment Amount |
1174807.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
73 |
Number Of Drug Services |
51266 |
Number Of Medicare Beneficiaries With Drug Services |
155 |
Total Drug Submitted ChargeAmount |
3692142 |
Total Drug Medicare AllowedAmount |
1093808.81 |
Total Drug Medicare PaymentAmount |
825099.08 |
Total Drug Medicare Standardized Payment Amount |
825099.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
6904 |
Number Of Medicare Beneficiaries With Medical Services |
443 |
Total Medical Submitted Charge Amount |
1325926 |
Total Medical Medicare Allowed Amount |
451103.57 |
Total Medical Medicare Payment Amount |
350275.58 |
Total Medical Medicare Standardized Payment Amount |
349708.51 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
233 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
260 |
Number Of Male Beneficiaries |
183 |
Number Of Non Hispanic White Beneficiaries |
366 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
383 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
57 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
31 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.8835 |