National Provider Identifier [NPI]: |
1699713081 |
Last Name Of The Provider |
CLINKSCALES |
First Name Of The Provider |
CARLTON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 E HAMPDEN AVE |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
ENGLEWOOD |
Zip Code Of The Provider |
801133781 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
2300 |
Number Of Medicare Beneficiaries |
351 |
Total Submitted Charge Amount |
439403 |
Total Medicare Allowed Amount |
182006.78 |
Total Medicare Payment Amount |
136542.35 |
Total Medicare Standardized Payment Amount |
135529.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
799 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
70593 |
Total Drug Medicare AllowedAmount |
24750.33 |
Total Drug Medicare PaymentAmount |
19395.27 |
Total Drug Medicare Standardized Payment Amount |
19395.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
1501 |
Number Of Medicare Beneficiaries With Medical Services |
351 |
Total Medical Submitted Charge Amount |
368810 |
Total Medical Medicare Allowed Amount |
157256.45 |
Total Medical Medicare Payment Amount |
117147.08 |
Total Medical Medicare Standardized Payment Amount |
116133.98 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
196 |
Number Of Beneficiaries Age 75 to 84 |
106 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
221 |
Number Of Male Beneficiaries |
130 |
Number Of Non Hispanic White Beneficiaries |
331 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
331 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9612 |