National Provider Identifier [NPI]: |
1972559854 |
Last Name Of The Provider |
VOLK |
First Name Of The Provider |
DEAN |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1619 N GREENWOOD ST |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
PUEBLO |
Zip Code Of The Provider |
810032644 |
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 |
226 |
Number Of Services |
5930 |
Number Of Medicare Beneficiaries |
3082 |
Total Submitted Charge Amount |
1415373 |
Total Medicare Allowed Amount |
283346.75 |
Total Medicare Payment Amount |
217030.74 |
Total Medicare Standardized Payment Amount |
218624.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
730 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
7600 |
Total Drug Medicare AllowedAmount |
548.82 |
Total Drug Medicare PaymentAmount |
430.13 |
Total Drug Medicare Standardized Payment Amount |
430.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
223 |
Number Of Medical Services |
5200 |
Number Of Medicare Beneficiaries With Medical Services |
3082 |
Total Medical Submitted Charge Amount |
1407773 |
Total Medical Medicare Allowed Amount |
282797.93 |
Total Medical Medicare Payment Amount |
216600.61 |
Total Medical Medicare Standardized Payment Amount |
218194.26 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
708 |
Number Of Beneficiaries Age 65 to 74 |
1097 |
Number Of Beneficiaries Age 75 to 84 |
862 |
Number Of Beneficiaries Age Greater 84 |
415 |
Number Of Female Beneficiaries |
1850 |
Number Of Male Beneficiaries |
1232 |
Number Of Non Hispanic White Beneficiaries |
2172 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
829 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2150 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
932 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.552 |