National Provider Identifier [NPI]: |
1437106028 |
Last Name Of The Provider |
ABERNATHY |
First Name Of The Provider |
BRETT |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2777 MILE HIGH STADIUM CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
DENVER |
Zip Code Of The Provider |
802115222 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
12580 |
Number Of Medicare Beneficiaries |
665 |
Total Submitted Charge Amount |
581824.62 |
Total Medicare Allowed Amount |
282879.29 |
Total Medicare Payment Amount |
210248.52 |
Total Medicare Standardized Payment Amount |
210064.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
9127 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
170484.62 |
Total Drug Medicare AllowedAmount |
98187.12 |
Total Drug Medicare PaymentAmount |
74329.75 |
Total Drug Medicare Standardized Payment Amount |
74329.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
3453 |
Number Of Medicare Beneficiaries With Medical Services |
665 |
Total Medical Submitted Charge Amount |
411340 |
Total Medical Medicare Allowed Amount |
184692.17 |
Total Medical Medicare Payment Amount |
135918.77 |
Total Medical Medicare Standardized Payment Amount |
135734.84 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
269 |
Number Of Beneficiaries Age 75 to 84 |
260 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
102 |
Number Of Male Beneficiaries |
563 |
Number Of Non Hispanic White Beneficiaries |
593 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
610 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2821 |