National Provider Identifier [NPI]: |
1356464325 |
Last Name Of The Provider |
SEEBERGER |
First Name Of The Provider |
FLORIAN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
607 28 1/4 RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRAND JUNCTION |
Zip Code Of The Provider |
815066023 |
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 |
81 |
Number Of Services |
5621 |
Number Of Medicare Beneficiaries |
517 |
Total Submitted Charge Amount |
371888 |
Total Medicare Allowed Amount |
187225.08 |
Total Medicare Payment Amount |
144104.5 |
Total Medicare Standardized Payment Amount |
145371.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
260 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
4844 |
Total Drug Medicare AllowedAmount |
4288.96 |
Total Drug Medicare PaymentAmount |
4090.67 |
Total Drug Medicare Standardized Payment Amount |
4090.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
5361 |
Number Of Medicare Beneficiaries With Medical Services |
517 |
Total Medical Submitted Charge Amount |
367044 |
Total Medical Medicare Allowed Amount |
182936.12 |
Total Medical Medicare Payment Amount |
140013.83 |
Total Medical Medicare Standardized Payment Amount |
141281.17 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
243 |
Number Of Beneficiaries Age 75 to 84 |
182 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
311 |
Number Of Male Beneficiaries |
206 |
Number Of Non Hispanic White Beneficiaries |
494 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
498 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9659 |