National Provider Identifier [NPI]: |
1992720064 |
Last Name Of The Provider |
RICH |
First Name Of The Provider |
RYAN |
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 |
2770 N UNION BLVD |
Street Address 2 Of The Provider |
SUITE 140 |
City Of The Provider |
COLORADO SPRINGS |
Zip Code Of The Provider |
809091120 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
12241 |
Number Of Medicare Beneficiaries |
1114 |
Total Submitted Charge Amount |
5710220.16 |
Total Medicare Allowed Amount |
2132448.34 |
Total Medicare Payment Amount |
1628845.17 |
Total Medicare Standardized Payment Amount |
1622147.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3551 |
Number Of Medicare Beneficiaries With Drug Services |
391 |
Total Drug Submitted ChargeAmount |
3551625.56 |
Total Drug Medicare AllowedAmount |
1183852.81 |
Total Drug Medicare PaymentAmount |
918793.7 |
Total Drug Medicare Standardized Payment Amount |
918793.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
8690 |
Number Of Medicare Beneficiaries With Medical Services |
1113 |
Total Medical Submitted Charge Amount |
2158594.6 |
Total Medical Medicare Allowed Amount |
948595.53 |
Total Medical Medicare Payment Amount |
710051.47 |
Total Medical Medicare Standardized Payment Amount |
703354.16 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
377 |
Number Of Beneficiaries Age 75 to 84 |
419 |
Number Of Beneficiaries Age Greater 84 |
254 |
Number Of Female Beneficiaries |
651 |
Number Of Male Beneficiaries |
463 |
Number Of Non Hispanic White Beneficiaries |
963 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
95 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1004 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
110 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3396 |