National Provider Identifier [NPI]: |
1659356962 |
Last Name Of The Provider |
LOWERY |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1400 E BOULDER ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLORADO SPRINGS |
Zip Code Of The Provider |
809095533 |
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 |
172 |
Number Of Services |
5117 |
Number Of Medicare Beneficiaries |
3393 |
Total Submitted Charge Amount |
482357.73 |
Total Medicare Allowed Amount |
162380.14 |
Total Medicare Payment Amount |
122382.3 |
Total Medicare Standardized Payment Amount |
124175.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
172 |
Number Of Medical Services |
5117 |
Number Of Medicare Beneficiaries With Medical Services |
3393 |
Total Medical Submitted Charge Amount |
482357.73 |
Total Medical Medicare Allowed Amount |
162380.14 |
Total Medical Medicare Payment Amount |
122382.3 |
Total Medical Medicare Standardized Payment Amount |
124175.18 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
716 |
Number Of Beneficiaries Age 65 to 74 |
1272 |
Number Of Beneficiaries Age 75 to 84 |
949 |
Number Of Beneficiaries Age Greater 84 |
456 |
Number Of Female Beneficiaries |
2107 |
Number Of Male Beneficiaries |
1286 |
Number Of Non Hispanic White Beneficiaries |
2648 |
Number Of Black or African American Beneficiaries |
187 |
Number Of AsianPacific Islander Beneficiaries |
47 |
Number Of Hispanic Beneficiaries |
458 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2556 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
837 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3461 |