National Provider Identifier [NPI]: |
1144588427 |
Last Name Of The Provider |
HAFFNER |
First Name Of The Provider |
KYLE |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1606 PRAIRIE CENTER PKWY |
Street Address 2 Of The Provider |
SUITE 170 |
City Of The Provider |
BRIGHTON |
Zip Code Of The Provider |
806014004 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
1686 |
Number Of Medicare Beneficiaries |
309 |
Total Submitted Charge Amount |
294055 |
Total Medicare Allowed Amount |
145337.44 |
Total Medicare Payment Amount |
109137.39 |
Total Medicare Standardized Payment Amount |
107000.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
322 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
6440 |
Total Drug Medicare AllowedAmount |
365.33 |
Total Drug Medicare PaymentAmount |
268.42 |
Total Drug Medicare Standardized Payment Amount |
268.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
1364 |
Number Of Medicare Beneficiaries With Medical Services |
309 |
Total Medical Submitted Charge Amount |
287615 |
Total Medical Medicare Allowed Amount |
144972.11 |
Total Medical Medicare Payment Amount |
108868.97 |
Total Medical Medicare Standardized Payment Amount |
106732.26 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
129 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
191 |
Number Of Male Beneficiaries |
118 |
Number Of Non Hispanic White Beneficiaries |
236 |
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 |
231 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3834 |