National Provider Identifier [NPI]: |
1841201167 |
Last Name Of The Provider |
FRIEDNASH |
First Name Of The Provider |
MARTI |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2005 FRANKLIN ST |
Street Address 2 Of The Provider |
BUILDING 2, SUITE 690 |
City Of The Provider |
DENVER |
Zip Code Of The Provider |
802055401 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
1444 |
Number Of Medicare Beneficiaries |
271 |
Total Submitted Charge Amount |
152614.5 |
Total Medicare Allowed Amount |
81780.9 |
Total Medicare Payment Amount |
55430.25 |
Total Medicare Standardized Payment Amount |
54382.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
28 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
600 |
Total Drug Medicare AllowedAmount |
446.23 |
Total Drug Medicare PaymentAmount |
340.13 |
Total Drug Medicare Standardized Payment Amount |
340.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1416 |
Number Of Medicare Beneficiaries With Medical Services |
271 |
Total Medical Submitted Charge Amount |
152014.5 |
Total Medical Medicare Allowed Amount |
81334.67 |
Total Medical Medicare Payment Amount |
55090.12 |
Total Medical Medicare Standardized Payment Amount |
54042.58 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
136 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
161 |
Number Of Male Beneficiaries |
110 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
9 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7989 |