National Provider Identifier [NPI]: |
1255388955 |
Last Name Of The Provider |
STROTE |
First Name Of The Provider |
JUSTIN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2121 E HARMONY RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
FORT COLLINS |
Zip Code Of The Provider |
805283400 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
3059 |
Number Of Medicare Beneficiaries |
1808 |
Total Submitted Charge Amount |
561490 |
Total Medicare Allowed Amount |
267259.81 |
Total Medicare Payment Amount |
203346.05 |
Total Medicare Standardized Payment Amount |
204780.74 |
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 |
80 |
Number Of Medical Services |
3059 |
Number Of Medicare Beneficiaries With Medical Services |
1808 |
Total Medical Submitted Charge Amount |
561490 |
Total Medical Medicare Allowed Amount |
267259.81 |
Total Medical Medicare Payment Amount |
203346.05 |
Total Medical Medicare Standardized Payment Amount |
204780.74 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
674 |
Number Of Beneficiaries Age 75 to 84 |
644 |
Number Of Beneficiaries Age Greater 84 |
333 |
Number Of Female Beneficiaries |
879 |
Number Of Male Beneficiaries |
929 |
Number Of Non Hispanic White Beneficiaries |
1654 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
109 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
1553 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
255 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4159 |