National Provider Identifier [NPI]: |
1518920222 |
Last Name Of The Provider |
GIROUX |
First Name Of The Provider |
MONIQUE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
499 E HAMPDEN AVE |
Street Address 2 Of The Provider |
250 |
City Of The Provider |
ENGLEWOOD |
Zip Code Of The Provider |
801132780 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
10805 |
Number Of Medicare Beneficiaries |
296 |
Total Submitted Charge Amount |
648096.54 |
Total Medicare Allowed Amount |
316932.06 |
Total Medicare Payment Amount |
238852.2 |
Total Medicare Standardized Payment Amount |
231300.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
8965 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
100865 |
Total Drug Medicare AllowedAmount |
50782.16 |
Total Drug Medicare PaymentAmount |
39602.11 |
Total Drug Medicare Standardized Payment Amount |
39602.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1840 |
Number Of Medicare Beneficiaries With Medical Services |
296 |
Total Medical Submitted Charge Amount |
547231.54 |
Total Medical Medicare Allowed Amount |
266149.9 |
Total Medical Medicare Payment Amount |
199250.09 |
Total Medical Medicare Standardized Payment Amount |
191698.48 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
95 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
146 |
Number Of Male Beneficiaries |
150 |
Number Of Non Hispanic White Beneficiaries |
266 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
270 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.325 |