National Provider Identifier [NPI]: |
1881644532 |
Last Name Of The Provider |
CRYLEN |
First Name Of The Provider |
CURTIS |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5890 W 13TH STREET |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
GREELEY |
Zip Code Of The Provider |
806344821 |
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 |
81 |
Number Of Services |
3866 |
Number Of Medicare Beneficiaries |
406 |
Total Submitted Charge Amount |
352137.2 |
Total Medicare Allowed Amount |
159698.82 |
Total Medicare Payment Amount |
116959.74 |
Total Medicare Standardized Payment Amount |
117714.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2146 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
76876.2 |
Total Drug Medicare AllowedAmount |
22288.05 |
Total Drug Medicare PaymentAmount |
16049.61 |
Total Drug Medicare Standardized Payment Amount |
16049.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
1720 |
Number Of Medicare Beneficiaries With Medical Services |
406 |
Total Medical Submitted Charge Amount |
275261 |
Total Medical Medicare Allowed Amount |
137410.77 |
Total Medical Medicare Payment Amount |
100910.13 |
Total Medical Medicare Standardized Payment Amount |
101664.95 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
116 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
120 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
351 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
337 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3102 |