National Provider Identifier [NPI]: |
1346448289 |
Last Name Of The Provider |
JANSEN |
First Name Of The Provider |
JOHN-PAUL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8300 WEST 38TH AVENUE |
Street Address 2 Of The Provider |
SOUND INPATIENT PHYSICIAN |
City Of The Provider |
WHEAT RIDGE |
Zip Code Of The Provider |
80033 |
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 |
15 |
Number Of Services |
986 |
Number Of Medicare Beneficiaries |
383 |
Total Submitted Charge Amount |
347913 |
Total Medicare Allowed Amount |
88598.44 |
Total Medicare Payment Amount |
68733.93 |
Total Medicare Standardized Payment Amount |
68894.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
986 |
Number Of Medicare Beneficiaries With Medical Services |
383 |
Total Medical Submitted Charge Amount |
347913 |
Total Medical Medicare Allowed Amount |
88598.44 |
Total Medical Medicare Payment Amount |
68733.93 |
Total Medical Medicare Standardized Payment Amount |
68894.92 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
194 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
336 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
298 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
85 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
1.8879 |