National Provider Identifier [NPI]: |
1689659153 |
Last Name Of The Provider |
BARTLETT |
First Name Of The Provider |
CHRISTOPHER |
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 |
1400 E BOULDER ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLORADO SPRINGS |
Zip Code Of The Provider |
809095533 |
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 |
188 |
Number Of Services |
6531 |
Number Of Medicare Beneficiaries |
3996 |
Total Submitted Charge Amount |
563091.13 |
Total Medicare Allowed Amount |
189368.66 |
Total Medicare Payment Amount |
147978.15 |
Total Medicare Standardized Payment Amount |
149272 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
188 |
Number Of Medical Services |
6531 |
Number Of Medicare Beneficiaries With Medical Services |
3996 |
Total Medical Submitted Charge Amount |
563091.13 |
Total Medical Medicare Allowed Amount |
189368.66 |
Total Medical Medicare Payment Amount |
147978.15 |
Total Medical Medicare Standardized Payment Amount |
149272 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
777 |
Number Of Beneficiaries Age 65 to 74 |
1555 |
Number Of Beneficiaries Age 75 to 84 |
1158 |
Number Of Beneficiaries Age Greater 84 |
506 |
Number Of Female Beneficiaries |
2832 |
Number Of Male Beneficiaries |
1164 |
Number Of Non Hispanic White Beneficiaries |
3219 |
Number Of Black or African American Beneficiaries |
230 |
Number Of AsianPacific Islander Beneficiaries |
68 |
Number Of Hispanic Beneficiaries |
417 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
48 |
Number Of Beneficiaries With Medicare Only Entitlement |
3089 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
907 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2738 |