National Provider Identifier [NPI]: |
1134103476 |
Last Name Of The Provider |
RIFKIN |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1800 WILLIAMS ST |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
DENVER |
Zip Code Of The Provider |
80218 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
159 |
Number Of Services |
77968 |
Number Of Medicare Beneficiaries |
740 |
Total Submitted Charge Amount |
6582743.5 |
Total Medicare Allowed Amount |
2046739.51 |
Total Medicare Payment Amount |
1597894.43 |
Total Medicare Standardized Payment Amount |
1597697.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
79 |
Number Of Drug Services |
67654 |
Number Of Medicare Beneficiaries With Drug Services |
280 |
Total Drug Submitted ChargeAmount |
4997577.5 |
Total Drug Medicare AllowedAmount |
1530065.06 |
Total Drug Medicare PaymentAmount |
1192050.78 |
Total Drug Medicare Standardized Payment Amount |
1192050.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
10314 |
Number Of Medicare Beneficiaries With Medical Services |
740 |
Total Medical Submitted Charge Amount |
1585166 |
Total Medical Medicare Allowed Amount |
516674.45 |
Total Medical Medicare Payment Amount |
405843.65 |
Total Medical Medicare Standardized Payment Amount |
405646.7 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
391 |
Number Of Beneficiaries Age 75 to 84 |
211 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
392 |
Number Of Male Beneficiaries |
348 |
Number Of Non Hispanic White Beneficiaries |
630 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
650 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
90 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.8789 |