National Provider Identifier [NPI]: |
1922083401 |
Last Name Of The Provider |
GUNTHER |
First Name Of The Provider |
PHILLIP |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10700 E GEDDES AVE |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
ENGLEWOOD |
Zip Code Of The Provider |
801123800 |
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 |
157 |
Number Of Services |
4206 |
Number Of Medicare Beneficiaries |
2718 |
Total Submitted Charge Amount |
652630 |
Total Medicare Allowed Amount |
197798.2 |
Total Medicare Payment Amount |
151014.22 |
Total Medicare Standardized Payment Amount |
154321.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
547 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
1737 |
Total Drug Medicare AllowedAmount |
400.44 |
Total Drug Medicare PaymentAmount |
313.97 |
Total Drug Medicare Standardized Payment Amount |
313.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
155 |
Number Of Medical Services |
3659 |
Number Of Medicare Beneficiaries With Medical Services |
2718 |
Total Medical Submitted Charge Amount |
650893 |
Total Medical Medicare Allowed Amount |
197397.76 |
Total Medical Medicare Payment Amount |
150700.25 |
Total Medical Medicare Standardized Payment Amount |
154007.75 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
393 |
Number Of Beneficiaries Age 65 to 74 |
1001 |
Number Of Beneficiaries Age 75 to 84 |
762 |
Number Of Beneficiaries Age Greater 84 |
562 |
Number Of Female Beneficiaries |
1629 |
Number Of Male Beneficiaries |
1089 |
Number Of Non Hispanic White Beneficiaries |
2356 |
Number Of Black or African American Beneficiaries |
105 |
Number Of AsianPacific Islander Beneficiaries |
50 |
Number Of Hispanic Beneficiaries |
155 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
2162 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
556 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.5581 |