National Provider Identifier [NPI]: |
1306925482 |
Last Name Of The Provider |
ROVAK |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 E HAMPDEN AVE |
Street Address 2 Of The Provider |
STE 500 |
City Of The Provider |
ENGLEWOOD |
Zip Code Of The Provider |
801133781 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hand Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
1037 |
Number Of Medicare Beneficiaries |
216 |
Total Submitted Charge Amount |
224621 |
Total Medicare Allowed Amount |
92736.64 |
Total Medicare Payment Amount |
68146.91 |
Total Medicare Standardized Payment Amount |
68366.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
169 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
10617 |
Total Drug Medicare AllowedAmount |
3879.43 |
Total Drug Medicare PaymentAmount |
3023.39 |
Total Drug Medicare Standardized Payment Amount |
3023.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
868 |
Number Of Medicare Beneficiaries With Medical Services |
216 |
Total Medical Submitted Charge Amount |
214004 |
Total Medical Medicare Allowed Amount |
88857.21 |
Total Medical Medicare Payment Amount |
65123.52 |
Total Medical Medicare Standardized Payment Amount |
65342.71 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
112 |
Number Of Beneficiaries Age 75 to 84 |
56 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
124 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
198 |
Number Of Black or African American Beneficiaries |
|
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 |
199 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1136 |