National Provider Identifier [NPI]: |
1821046723 |
Last Name Of The Provider |
HARTMAN |
First Name Of The Provider |
JANICE |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5500 E PEAKVIEW AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CENTENNIAL |
Zip Code Of The Provider |
801213539 |
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 |
43 |
Number Of Services |
988 |
Number Of Medicare Beneficiaries |
286 |
Total Submitted Charge Amount |
166762 |
Total Medicare Allowed Amount |
81135.96 |
Total Medicare Payment Amount |
60768.83 |
Total Medicare Standardized Payment Amount |
60953.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
63 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
1183 |
Total Drug Medicare AllowedAmount |
834.49 |
Total Drug Medicare PaymentAmount |
788.97 |
Total Drug Medicare Standardized Payment Amount |
788.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
925 |
Number Of Medicare Beneficiaries With Medical Services |
286 |
Total Medical Submitted Charge Amount |
165579 |
Total Medical Medicare Allowed Amount |
80301.47 |
Total Medical Medicare Payment Amount |
59979.86 |
Total Medical Medicare Standardized Payment Amount |
60164.88 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
103 |
Number Of Beneficiaries Age 75 to 84 |
79 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
169 |
Number Of Male Beneficiaries |
117 |
Number Of Non Hispanic White Beneficiaries |
266 |
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 |
209 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
77 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.139 |