National Provider Identifier [NPI]: |
1700863545 |
Last Name Of The Provider |
WARE |
First Name Of The Provider |
MOLLY |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4743 ARAPAHOE AVE |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
BOULDER |
Zip Code Of The Provider |
803031113 |
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 |
44 |
Number Of Services |
1812 |
Number Of Medicare Beneficiaries |
767 |
Total Submitted Charge Amount |
203065.66 |
Total Medicare Allowed Amount |
120011.66 |
Total Medicare Payment Amount |
89619.61 |
Total Medicare Standardized Payment Amount |
89713.64 |
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 |
44 |
Number Of Medical Services |
1812 |
Number Of Medicare Beneficiaries With Medical Services |
767 |
Total Medical Submitted Charge Amount |
203065.66 |
Total Medical Medicare Allowed Amount |
120011.66 |
Total Medical Medicare Payment Amount |
89619.61 |
Total Medical Medicare Standardized Payment Amount |
89713.64 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
308 |
Number Of Beneficiaries Age 75 to 84 |
252 |
Number Of Beneficiaries Age Greater 84 |
117 |
Number Of Female Beneficiaries |
387 |
Number Of Male Beneficiaries |
380 |
Number Of Non Hispanic White Beneficiaries |
641 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
635 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
132 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3909 |