National Provider Identifier [NPI]: |
1245243492 |
Last Name Of The Provider |
BRYANT |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
550 S WADSWORTH BLVD |
Street Address 2 Of The Provider |
SUITE 410 |
City Of The Provider |
LAKEWOOD |
Zip Code Of The Provider |
802263111 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
928 |
Number Of Medicare Beneficiaries |
584 |
Total Submitted Charge Amount |
552218.26 |
Total Medicare Allowed Amount |
98214.67 |
Total Medicare Payment Amount |
71299.89 |
Total Medicare Standardized Payment Amount |
69859.79 |
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 |
44 |
Number Of Medical Services |
928 |
Number Of Medicare Beneficiaries With Medical Services |
584 |
Total Medical Submitted Charge Amount |
552218.26 |
Total Medical Medicare Allowed Amount |
98214.67 |
Total Medical Medicare Payment Amount |
71299.89 |
Total Medical Medicare Standardized Payment Amount |
69859.79 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
170 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
323 |
Number Of Male Beneficiaries |
261 |
Number Of Non Hispanic White Beneficiaries |
500 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
317 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
267 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8813 |