National Provider Identifier [NPI]: |
1952556417 |
Last Name Of The Provider |
MORGAN |
First Name Of The Provider |
KYLE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2801 YOUNGFIELD ST |
Street Address 2 Of The Provider |
STE 150 |
City Of The Provider |
GOLDEN |
Zip Code Of The Provider |
804012263 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
689 |
Number Of Medicare Beneficiaries |
114 |
Total Submitted Charge Amount |
261798.86 |
Total Medicare Allowed Amount |
65376.58 |
Total Medicare Payment Amount |
48371.74 |
Total Medicare Standardized Payment Amount |
46371.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
33 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
812 |
Total Drug Medicare AllowedAmount |
95.93 |
Total Drug Medicare PaymentAmount |
71.4 |
Total Drug Medicare Standardized Payment Amount |
71.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
656 |
Number Of Medicare Beneficiaries With Medical Services |
114 |
Total Medical Submitted Charge Amount |
260986.86 |
Total Medical Medicare Allowed Amount |
65280.65 |
Total Medical Medicare Payment Amount |
48300.34 |
Total Medical Medicare Standardized Payment Amount |
46300.03 |
Average Age Of Beneficiaries |
61 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
32 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
68 |
Number Of Male Beneficiaries |
46 |
Number Of Non Hispanic White Beneficiaries |
98 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
79 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
31 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
15 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4864 |