National Provider Identifier [NPI]: |
1295723674 |
Last Name Of The Provider |
GROCE |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
191 EAST ORCHARD ROAD STE 300 |
Street Address 2 Of The Provider |
SWEDISH FAMILY MEDICINE PROVIDERS |
City Of The Provider |
LITTLETON |
Zip Code Of The Provider |
80121 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
1959 |
Number Of Medicare Beneficiaries |
360 |
Total Submitted Charge Amount |
105997.5 |
Total Medicare Allowed Amount |
55050.19 |
Total Medicare Payment Amount |
41863.47 |
Total Medicare Standardized Payment Amount |
41935.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1124 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
3144.5 |
Total Drug Medicare AllowedAmount |
1425.55 |
Total Drug Medicare PaymentAmount |
1238.85 |
Total Drug Medicare Standardized Payment Amount |
1238.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
835 |
Number Of Medicare Beneficiaries With Medical Services |
360 |
Total Medical Submitted Charge Amount |
102853 |
Total Medical Medicare Allowed Amount |
53624.64 |
Total Medical Medicare Payment Amount |
40624.62 |
Total Medical Medicare Standardized Payment Amount |
40696.8 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
154 |
Number Of Beneficiaries Age 65 to 74 |
101 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
194 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
283 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
189 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
171 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.35 |