National Provider Identifier [NPI]: |
1164406310 |
Last Name Of The Provider |
BEALE |
First Name Of The Provider |
SARAH |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8300 W 38TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WHEAT RIDGE |
Zip Code Of The Provider |
800336005 |
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 |
128 |
Number Of Services |
1511 |
Number Of Medicare Beneficiaries |
1100 |
Total Submitted Charge Amount |
224400 |
Total Medicare Allowed Amount |
53792.33 |
Total Medicare Payment Amount |
38676.74 |
Total Medicare Standardized Payment Amount |
39264.15 |
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 |
128 |
Number Of Medical Services |
1511 |
Number Of Medicare Beneficiaries With Medical Services |
1100 |
Total Medical Submitted Charge Amount |
224400 |
Total Medical Medicare Allowed Amount |
53792.33 |
Total Medical Medicare Payment Amount |
38676.74 |
Total Medical Medicare Standardized Payment Amount |
39264.15 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
229 |
Number Of Beneficiaries Age 65 to 74 |
344 |
Number Of Beneficiaries Age 75 to 84 |
306 |
Number Of Beneficiaries Age Greater 84 |
221 |
Number Of Female Beneficiaries |
637 |
Number Of Male Beneficiaries |
463 |
Number Of Non Hispanic White Beneficiaries |
933 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
124 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
815 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
285 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6731 |