National Provider Identifier [NPI]: |
1396724498 |
Last Name Of The Provider |
STARKEY |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1633 MEDICAL CENTER POINT |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLORADO SPRINGS |
Zip Code Of The Provider |
809071604 |
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 |
139 |
Number Of Services |
14400 |
Number Of Medicare Beneficiaries |
2580 |
Total Submitted Charge Amount |
794477 |
Total Medicare Allowed Amount |
355850.08 |
Total Medicare Payment Amount |
291425.62 |
Total Medicare Standardized Payment Amount |
294126.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
9777 |
Number Of Medicare Beneficiaries With Drug Services |
137 |
Total Drug Submitted ChargeAmount |
11107 |
Total Drug Medicare AllowedAmount |
2373.68 |
Total Drug Medicare PaymentAmount |
1840.46 |
Total Drug Medicare Standardized Payment Amount |
1840.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
135 |
Number Of Medical Services |
4623 |
Number Of Medicare Beneficiaries With Medical Services |
2580 |
Total Medical Submitted Charge Amount |
783370 |
Total Medical Medicare Allowed Amount |
353476.4 |
Total Medical Medicare Payment Amount |
289585.16 |
Total Medical Medicare Standardized Payment Amount |
292286.19 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
294 |
Number Of Beneficiaries Age 65 to 74 |
1284 |
Number Of Beneficiaries Age 75 to 84 |
738 |
Number Of Beneficiaries Age Greater 84 |
264 |
Number Of Female Beneficiaries |
1817 |
Number Of Male Beneficiaries |
763 |
Number Of Non Hispanic White Beneficiaries |
2194 |
Number Of Black or African American Beneficiaries |
109 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
188 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
50 |
Number Of Beneficiaries With Medicare Only Entitlement |
2349 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
231 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9709 |