National Provider Identifier [NPI]: |
1316936198 |
Last Name Of The Provider |
BROWNE |
First Name Of The Provider |
HILLARY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2575 SPRUCE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOULDER |
Zip Code Of The Provider |
803023806 |
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 |
24 |
Number Of Services |
405 |
Number Of Medicare Beneficiaries |
153 |
Total Submitted Charge Amount |
42983 |
Total Medicare Allowed Amount |
29616.19 |
Total Medicare Payment Amount |
25342.95 |
Total Medicare Standardized Payment Amount |
25580.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
38 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
1924 |
Total Drug Medicare AllowedAmount |
1821.01 |
Total Drug Medicare PaymentAmount |
1778.67 |
Total Drug Medicare Standardized Payment Amount |
1778.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
367 |
Number Of Medicare Beneficiaries With Medical Services |
153 |
Total Medical Submitted Charge Amount |
41059 |
Total Medical Medicare Allowed Amount |
27795.18 |
Total Medical Medicare Payment Amount |
23564.28 |
Total Medical Medicare Standardized Payment Amount |
23802.24 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
23 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
131 |
Number Of Male Beneficiaries |
22 |
Number Of Non Hispanic White Beneficiaries |
141 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
153 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
0 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
14 |
Percent Of With Diabetes |
10 |
Percent Of With Hyperlipidemia |
24 |
Percent Of With Hypertension |
24 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7119 |