National Provider Identifier [NPI]: |
1891957056 |
Last Name Of The Provider |
TROJANOWSKI |
First Name Of The Provider |
JOANNA |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5920 MCINTYRE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
GOLDEN |
Zip Code Of The Provider |
804037445 |
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 |
45 |
Number Of Services |
1818 |
Number Of Medicare Beneficiaries |
473 |
Total Submitted Charge Amount |
336334 |
Total Medicare Allowed Amount |
164025.26 |
Total Medicare Payment Amount |
120741.09 |
Total Medicare Standardized Payment Amount |
124382.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
63 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
3461 |
Total Drug Medicare AllowedAmount |
1686.89 |
Total Drug Medicare PaymentAmount |
1649.16 |
Total Drug Medicare Standardized Payment Amount |
1649.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
1755 |
Number Of Medicare Beneficiaries With Medical Services |
473 |
Total Medical Submitted Charge Amount |
332873 |
Total Medical Medicare Allowed Amount |
162338.37 |
Total Medical Medicare Payment Amount |
119091.93 |
Total Medical Medicare Standardized Payment Amount |
122733.39 |
Average Age Of Beneficiaries |
86 |
Number Of Beneficiaries Age Less65 |
0 |
Number Of Beneficiaries Age 65 to 74 |
37 |
Number Of Beneficiaries Age 75 to 84 |
148 |
Number Of Beneficiaries Age Greater 84 |
288 |
Number Of Female Beneficiaries |
347 |
Number Of Male Beneficiaries |
126 |
Number Of Non Hispanic White Beneficiaries |
460 |
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 |
422 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
49 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
26 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5418 |