National Provider Identifier [NPI]: |
1518132521 |
Last Name Of The Provider |
BARTZ |
First Name Of The Provider |
BRETT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10700 E GEDDES AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
ENGLEWOOD |
Zip Code Of The Provider |
801123800 |
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 |
131 |
Number Of Services |
4481 |
Number Of Medicare Beneficiaries |
2686 |
Total Submitted Charge Amount |
431172 |
Total Medicare Allowed Amount |
147628.24 |
Total Medicare Payment Amount |
116377.4 |
Total Medicare Standardized Payment Amount |
116611.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
663 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
1125 |
Total Drug Medicare AllowedAmount |
238.87 |
Total Drug Medicare PaymentAmount |
187.27 |
Total Drug Medicare Standardized Payment Amount |
187.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
129 |
Number Of Medical Services |
3818 |
Number Of Medicare Beneficiaries With Medical Services |
2686 |
Total Medical Submitted Charge Amount |
430047 |
Total Medical Medicare Allowed Amount |
147389.37 |
Total Medical Medicare Payment Amount |
116190.13 |
Total Medical Medicare Standardized Payment Amount |
116424.12 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
341 |
Number Of Beneficiaries Age 65 to 74 |
1120 |
Number Of Beneficiaries Age 75 to 84 |
768 |
Number Of Beneficiaries Age Greater 84 |
457 |
Number Of Female Beneficiaries |
1832 |
Number Of Male Beneficiaries |
854 |
Number Of Non Hispanic White Beneficiaries |
2373 |
Number Of Black or African American Beneficiaries |
67 |
Number Of AsianPacific Islander Beneficiaries |
46 |
Number Of Hispanic Beneficiaries |
153 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
2251 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
435 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4256 |