National Provider Identifier [NPI]: |
1790782910 |
Last Name Of The Provider |
EYSTER |
First Name Of The Provider |
DARLENE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 EXEMPLA CIR STE 310 |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
800263394 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
3202 |
Number Of Medicare Beneficiaries |
1271 |
Total Submitted Charge Amount |
317848 |
Total Medicare Allowed Amount |
235527.85 |
Total Medicare Payment Amount |
179212.21 |
Total Medicare Standardized Payment Amount |
179524.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
197 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
14512 |
Total Drug Medicare AllowedAmount |
10381.93 |
Total Drug Medicare PaymentAmount |
8139.3 |
Total Drug Medicare Standardized Payment Amount |
8139.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
3005 |
Number Of Medicare Beneficiaries With Medical Services |
1271 |
Total Medical Submitted Charge Amount |
303336 |
Total Medical Medicare Allowed Amount |
225145.92 |
Total Medical Medicare Payment Amount |
171072.91 |
Total Medical Medicare Standardized Payment Amount |
171385.11 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
186 |
Number Of Beneficiaries Age 65 to 74 |
473 |
Number Of Beneficiaries Age 75 to 84 |
359 |
Number Of Beneficiaries Age Greater 84 |
253 |
Number Of Female Beneficiaries |
723 |
Number Of Male Beneficiaries |
548 |
Number Of Non Hispanic White Beneficiaries |
1081 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
128 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1019 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
252 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.682 |