National Provider Identifier [NPI]: |
1033111620 |
Last Name Of The Provider |
COURTNEY |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
M |
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 |
#160 |
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 |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
2557 |
Number Of Medicare Beneficiaries |
358 |
Total Submitted Charge Amount |
223828 |
Total Medicare Allowed Amount |
135244.99 |
Total Medicare Payment Amount |
100058.56 |
Total Medicare Standardized Payment Amount |
104155.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
126 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
4923 |
Total Drug Medicare AllowedAmount |
2648.64 |
Total Drug Medicare PaymentAmount |
2542.29 |
Total Drug Medicare Standardized Payment Amount |
2542.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2431 |
Number Of Medicare Beneficiaries With Medical Services |
358 |
Total Medical Submitted Charge Amount |
218905 |
Total Medical Medicare Allowed Amount |
132596.35 |
Total Medical Medicare Payment Amount |
97516.27 |
Total Medical Medicare Standardized Payment Amount |
101613.56 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
154 |
Number Of Beneficiaries Age 75 to 84 |
92 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
185 |
Number Of Male Beneficiaries |
173 |
Number Of Non Hispanic White Beneficiaries |
330 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
339 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
17 |
Percent Of With Hypertension |
41 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.056 |