National Provider Identifier [NPI]: |
1285625475 |
Last Name Of The Provider |
ESSARY |
First Name Of The Provider |
BRENDAN |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
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 |
Radiation Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
189 |
Number Of Services |
7413 |
Number Of Medicare Beneficiaries |
2979 |
Total Submitted Charge Amount |
602256 |
Total Medicare Allowed Amount |
186551.05 |
Total Medicare Payment Amount |
141208.69 |
Total Medicare Standardized Payment Amount |
141334.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3566 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
5547 |
Total Drug Medicare AllowedAmount |
1193.85 |
Total Drug Medicare PaymentAmount |
936 |
Total Drug Medicare Standardized Payment Amount |
936 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
184 |
Number Of Medical Services |
3847 |
Number Of Medicare Beneficiaries With Medical Services |
2979 |
Total Medical Submitted Charge Amount |
596709 |
Total Medical Medicare Allowed Amount |
185357.2 |
Total Medical Medicare Payment Amount |
140272.69 |
Total Medical Medicare Standardized Payment Amount |
140398.98 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
447 |
Number Of Beneficiaries Age 65 to 74 |
1188 |
Number Of Beneficiaries Age 75 to 84 |
822 |
Number Of Beneficiaries Age Greater 84 |
522 |
Number Of Female Beneficiaries |
1688 |
Number Of Male Beneficiaries |
1291 |
Number Of Non Hispanic White Beneficiaries |
2561 |
Number Of Black or African American Beneficiaries |
133 |
Number Of AsianPacific Islander Beneficiaries |
56 |
Number Of Hispanic Beneficiaries |
175 |
Number Of American Indian Alaska Native Beneficiaries |
15 |
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
2404 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
575 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6285 |