| National Provider Identifier [NPI]: | 1902072143 |
| Last Name Of The Provider | ENRIQUEZ |
| First Name Of The Provider | LOUIE |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD, JD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 10700 E GEDDES AVE |
| Street Address 2 Of The Provider | 200 |
| City Of The Provider | ENGLEWOOD |
| Zip Code Of The Provider | 801123800 |
| 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 | 119 |
| Number Of Services | 5264 |
| Number Of Medicare Beneficiaries | 2967 |
| Total Submitted Charge Amount | 539724 |
| Total Medicare Allowed Amount | 186173.06 |
| Total Medicare Payment Amount | 156886.43 |
| Total Medicare Standardized Payment Amount | 157480.25 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 911 |
| Number Of Medicare Beneficiaries With Drug Services | 15 |
| Total Drug Submitted ChargeAmount | 1513 |
| Total Drug Medicare AllowedAmount | 336.63 |
| Total Drug Medicare PaymentAmount | 248.48 |
| Total Drug Medicare Standardized Payment Amount | 248.48 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 117 |
| Number Of Medical Services | 4353 |
| Number Of Medicare Beneficiaries With Medical Services | 2966 |
| Total Medical Submitted Charge Amount | 538211 |
| Total Medical Medicare Allowed Amount | 185836.43 |
| Total Medical Medicare Payment Amount | 156637.95 |
| Total Medical Medicare Standardized Payment Amount | 157231.77 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 373 |
| Number Of Beneficiaries Age 65 to 74 | 1344 |
| Number Of Beneficiaries Age 75 to 84 | 795 |
| Number Of Beneficiaries Age Greater 84 | 455 |
| Number Of Female Beneficiaries | 1976 |
| Number Of Male Beneficiaries | 991 |
| Number Of Non Hispanic White Beneficiaries | 2633 |
| Number Of Black or African American Beneficiaries | 94 |
| Number Of AsianPacific Islander Beneficiaries | 44 |
| Number Of Hispanic Beneficiaries | 143 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2497 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 470 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 49 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4406 |