National Provider Identifier [NPI]: |
1992892798 |
Last Name Of The Provider |
RENKIN |
First Name Of The Provider |
JOSHUA |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8585 WEST 14TH AVE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
LAKEWOOD |
Zip Code Of The Provider |
80215 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
19279 |
Number Of Medicare Beneficiaries |
311 |
Total Submitted Charge Amount |
389478 |
Total Medicare Allowed Amount |
190415.41 |
Total Medicare Payment Amount |
144101.56 |
Total Medicare Standardized Payment Amount |
142729.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
18575 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
226075 |
Total Drug Medicare AllowedAmount |
106807.36 |
Total Drug Medicare PaymentAmount |
83616.22 |
Total Drug Medicare Standardized Payment Amount |
83616.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
704 |
Number Of Medicare Beneficiaries With Medical Services |
311 |
Total Medical Submitted Charge Amount |
163403 |
Total Medical Medicare Allowed Amount |
83608.05 |
Total Medical Medicare Payment Amount |
60485.34 |
Total Medical Medicare Standardized Payment Amount |
59113.45 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
82 |
Number Of Beneficiaries Age 65 to 74 |
97 |
Number Of Beneficiaries Age 75 to 84 |
84 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
171 |
Number Of Male Beneficiaries |
140 |
Number Of Non Hispanic White Beneficiaries |
269 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
234 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
77 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
32 |
Average HCC Risk Score Of Beneficiaries |
1.4788 |