National Provider Identifier [NPI]: |
1215911540 |
Last Name Of The Provider |
SEDLACEK |
First Name Of The Provider |
SCOT |
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 |
4700 E. HALE PARKWAY |
Street Address 2 Of The Provider |
STE 400 |
City Of The Provider |
DENVER |
Zip Code Of The Provider |
80220 |
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 |
125 |
Number Of Services |
56443 |
Number Of Medicare Beneficiaries |
570 |
Total Submitted Charge Amount |
3454044.5 |
Total Medicare Allowed Amount |
940738.23 |
Total Medicare Payment Amount |
735266.55 |
Total Medicare Standardized Payment Amount |
733775.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
72 |
Number Of Drug Services |
51193 |
Number Of Medicare Beneficiaries With Drug Services |
189 |
Total Drug Submitted ChargeAmount |
2744153.5 |
Total Drug Medicare AllowedAmount |
725505.17 |
Total Drug Medicare PaymentAmount |
564834.07 |
Total Drug Medicare Standardized Payment Amount |
564834.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
5250 |
Number Of Medicare Beneficiaries With Medical Services |
570 |
Total Medical Submitted Charge Amount |
709891 |
Total Medical Medicare Allowed Amount |
215233.06 |
Total Medical Medicare Payment Amount |
170432.48 |
Total Medical Medicare Standardized Payment Amount |
168941.92 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
361 |
Number Of Beneficiaries Age 75 to 84 |
144 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
489 |
Number Of Male Beneficiaries |
81 |
Number Of Non Hispanic White Beneficiaries |
516 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
535 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
66 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.3008 |