National Provider Identifier [NPI]: |
1609864065 |
Last Name Of The Provider |
BENDER |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4674 SNOW MESA DR |
Street Address 2 Of The Provider |
SUITE 140 |
City Of The Provider |
FORT COLLINS |
Zip Code Of The Provider |
805288615 |
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 |
217 |
Number Of Services |
16151 |
Number Of Medicare Beneficiaries |
1165 |
Total Submitted Charge Amount |
1177473.8 |
Total Medicare Allowed Amount |
623606.33 |
Total Medicare Payment Amount |
479485.42 |
Total Medicare Standardized Payment Amount |
481977.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
2564 |
Number Of Medicare Beneficiaries With Drug Services |
383 |
Total Drug Submitted ChargeAmount |
57560 |
Total Drug Medicare AllowedAmount |
36156.13 |
Total Drug Medicare PaymentAmount |
29714.59 |
Total Drug Medicare Standardized Payment Amount |
29714.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
201 |
Number Of Medical Services |
13587 |
Number Of Medicare Beneficiaries With Medical Services |
1165 |
Total Medical Submitted Charge Amount |
1119913.8 |
Total Medical Medicare Allowed Amount |
587450.2 |
Total Medical Medicare Payment Amount |
449770.83 |
Total Medical Medicare Standardized Payment Amount |
452263.09 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
220 |
Number Of Beneficiaries Age 65 to 74 |
549 |
Number Of Beneficiaries Age 75 to 84 |
265 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
699 |
Number Of Male Beneficiaries |
466 |
Number Of Non Hispanic White Beneficiaries |
1067 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
957 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
208 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0491 |