National Provider Identifier [NPI]: |
1952307829 |
Last Name Of The Provider |
PTASNIK |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D.,F.A.C.C. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11700 W 2ND PL |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
LAKEWOOD |
Zip Code Of The Provider |
802281710 |
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 |
61 |
Number Of Services |
3154 |
Number Of Medicare Beneficiaries |
875 |
Total Submitted Charge Amount |
656514.02 |
Total Medicare Allowed Amount |
297930.94 |
Total Medicare Payment Amount |
218309.37 |
Total Medicare Standardized Payment Amount |
218624.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
339 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
21008 |
Total Drug Medicare AllowedAmount |
11589.84 |
Total Drug Medicare PaymentAmount |
9086.35 |
Total Drug Medicare Standardized Payment Amount |
9086.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
2815 |
Number Of Medicare Beneficiaries With Medical Services |
875 |
Total Medical Submitted Charge Amount |
635506.02 |
Total Medical Medicare Allowed Amount |
286341.1 |
Total Medical Medicare Payment Amount |
209223.02 |
Total Medical Medicare Standardized Payment Amount |
209538.16 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
363 |
Number Of Beneficiaries Age 75 to 84 |
294 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
396 |
Number Of Male Beneficiaries |
479 |
Number Of Non Hispanic White Beneficiaries |
747 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
76 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
774 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
101 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4343 |