National Provider Identifier [NPI]: |
1265571434 |
Last Name Of The Provider |
KECHRIOTIS |
First Name Of The Provider |
HELEN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
499 E HAMPDEN AVE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
ENGLEWOOD |
Zip Code Of The Provider |
801132780 |
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 |
28 |
Number Of Services |
440 |
Number Of Medicare Beneficiaries |
237 |
Total Submitted Charge Amount |
72192 |
Total Medicare Allowed Amount |
34351.24 |
Total Medicare Payment Amount |
24867.85 |
Total Medicare Standardized Payment Amount |
25322.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
13 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
1208 |
Total Drug Medicare AllowedAmount |
497.46 |
Total Drug Medicare PaymentAmount |
487.42 |
Total Drug Medicare Standardized Payment Amount |
487.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
427 |
Number Of Medicare Beneficiaries With Medical Services |
237 |
Total Medical Submitted Charge Amount |
70984 |
Total Medical Medicare Allowed Amount |
33853.78 |
Total Medical Medicare Payment Amount |
24380.43 |
Total Medical Medicare Standardized Payment Amount |
24835.37 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
129 |
Number Of Beneficiaries Age 75 to 84 |
66 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
169 |
Number Of Male Beneficiaries |
68 |
Number Of Non Hispanic White Beneficiaries |
222 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
13 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
41 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9999 |