National Provider Identifier [NPI]: |
1043294762 |
Last Name Of The Provider |
HOLLAND |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2750 BROADWAY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOULDER |
Zip Code Of The Provider |
803043573 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
6539 |
Number Of Medicare Beneficiaries |
1106 |
Total Submitted Charge Amount |
1420600.12 |
Total Medicare Allowed Amount |
711624.21 |
Total Medicare Payment Amount |
537569.86 |
Total Medicare Standardized Payment Amount |
546561.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
784 |
Number Of Medicare Beneficiaries With Drug Services |
195 |
Total Drug Submitted ChargeAmount |
58494.4 |
Total Drug Medicare AllowedAmount |
41533.04 |
Total Drug Medicare PaymentAmount |
31753.15 |
Total Drug Medicare Standardized Payment Amount |
31753.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
5755 |
Number Of Medicare Beneficiaries With Medical Services |
1106 |
Total Medical Submitted Charge Amount |
1362105.72 |
Total Medical Medicare Allowed Amount |
670091.17 |
Total Medical Medicare Payment Amount |
505816.71 |
Total Medical Medicare Standardized Payment Amount |
514808.56 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
497 |
Number Of Beneficiaries Age 75 to 84 |
353 |
Number Of Beneficiaries Age Greater 84 |
209 |
Number Of Female Beneficiaries |
513 |
Number Of Male Beneficiaries |
593 |
Number Of Non Hispanic White Beneficiaries |
1033 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1053 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.1754 |