National Provider Identifier [NPI]: |
1407836729 |
Last Name Of The Provider |
BARKE |
First Name Of The Provider |
LORA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
501 E HAMPDEN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ENGLEWOOD |
Zip Code Of The Provider |
801132702 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
121 |
Number Of Services |
4944 |
Number Of Medicare Beneficiaries |
3042 |
Total Submitted Charge Amount |
623636 |
Total Medicare Allowed Amount |
190954.05 |
Total Medicare Payment Amount |
155114.96 |
Total Medicare Standardized Payment Amount |
155553.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
570 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
4560 |
Total Drug Medicare AllowedAmount |
1121.03 |
Total Drug Medicare PaymentAmount |
878.89 |
Total Drug Medicare Standardized Payment Amount |
878.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
120 |
Number Of Medical Services |
4374 |
Number Of Medicare Beneficiaries With Medical Services |
3042 |
Total Medical Submitted Charge Amount |
619076 |
Total Medical Medicare Allowed Amount |
189833.02 |
Total Medical Medicare Payment Amount |
154236.07 |
Total Medical Medicare Standardized Payment Amount |
154674.5 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
418 |
Number Of Beneficiaries Age 65 to 74 |
1343 |
Number Of Beneficiaries Age 75 to 84 |
797 |
Number Of Beneficiaries Age Greater 84 |
484 |
Number Of Female Beneficiaries |
2126 |
Number Of Male Beneficiaries |
916 |
Number Of Non Hispanic White Beneficiaries |
2644 |
Number Of Black or African American Beneficiaries |
106 |
Number Of AsianPacific Islander Beneficiaries |
50 |
Number Of Hispanic Beneficiaries |
171 |
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
54 |
Number Of Beneficiaries With Medicare Only Entitlement |
2493 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
549 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4629 |