National Provider Identifier [NPI]: |
1033215199 |
Last Name Of The Provider |
PALMQUIST |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12250 E ILIFF AVE |
Street Address 2 Of The Provider |
#300 |
City Of The Provider |
AURORA |
Zip Code Of The Provider |
800146318 |
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 |
48 |
Number Of Services |
2510 |
Number Of Medicare Beneficiaries |
734 |
Total Submitted Charge Amount |
374423 |
Total Medicare Allowed Amount |
218797.73 |
Total Medicare Payment Amount |
164077.6 |
Total Medicare Standardized Payment Amount |
163887.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
125 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
6969 |
Total Drug Medicare AllowedAmount |
3496.27 |
Total Drug Medicare PaymentAmount |
3365.87 |
Total Drug Medicare Standardized Payment Amount |
3365.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
2385 |
Number Of Medicare Beneficiaries With Medical Services |
734 |
Total Medical Submitted Charge Amount |
367454 |
Total Medical Medicare Allowed Amount |
215301.46 |
Total Medical Medicare Payment Amount |
160711.73 |
Total Medical Medicare Standardized Payment Amount |
160521.4 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
198 |
Number Of Beneficiaries Age 75 to 84 |
249 |
Number Of Beneficiaries Age Greater 84 |
244 |
Number Of Female Beneficiaries |
399 |
Number Of Male Beneficiaries |
335 |
Number Of Non Hispanic White Beneficiaries |
679 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
637 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
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 |
1.5285 |