National Provider Identifier [NPI]: |
1437136298 |
Last Name Of The Provider |
FISHER |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
501 E HAMPDEN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ENGLEWOOD |
Zip Code Of The Provider |
801132702 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
158 |
Number Of Services |
9471 |
Number Of Medicare Beneficiaries |
4748 |
Total Submitted Charge Amount |
603117 |
Total Medicare Allowed Amount |
198693.53 |
Total Medicare Payment Amount |
149049.56 |
Total Medicare Standardized Payment Amount |
151047.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3332 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
3507 |
Total Drug Medicare AllowedAmount |
659.17 |
Total Drug Medicare PaymentAmount |
516.8 |
Total Drug Medicare Standardized Payment Amount |
516.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
156 |
Number Of Medical Services |
6139 |
Number Of Medicare Beneficiaries With Medical Services |
4748 |
Total Medical Submitted Charge Amount |
599610 |
Total Medical Medicare Allowed Amount |
198034.36 |
Total Medical Medicare Payment Amount |
148532.76 |
Total Medical Medicare Standardized Payment Amount |
150530.75 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
709 |
Number Of Beneficiaries Age 65 to 74 |
1785 |
Number Of Beneficiaries Age 75 to 84 |
1374 |
Number Of Beneficiaries Age Greater 84 |
880 |
Number Of Female Beneficiaries |
2767 |
Number Of Male Beneficiaries |
1981 |
Number Of Non Hispanic White Beneficiaries |
4092 |
Number Of Black or African American Beneficiaries |
161 |
Number Of AsianPacific Islander Beneficiaries |
79 |
Number Of Hispanic Beneficiaries |
295 |
Number Of American Indian Alaska Native Beneficiaries |
37 |
Number Of Beneficiaries With Race Not Else where Classified |
84 |
Number Of Beneficiaries With Medicare Only Entitlement |
3815 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
933 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6384 |