National Provider Identifier [NPI]: |
1336129915 |
Last Name Of The Provider |
GLASSER |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1746 COLE BLVD |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
LAKEWOOD |
Zip Code Of The Provider |
804013208 |
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 |
116 |
Number Of Services |
2268 |
Number Of Medicare Beneficiaries |
1743 |
Total Submitted Charge Amount |
255276.64 |
Total Medicare Allowed Amount |
77647.06 |
Total Medicare Payment Amount |
59240.81 |
Total Medicare Standardized Payment Amount |
59224.73 |
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 |
116 |
Number Of Medical Services |
2268 |
Number Of Medicare Beneficiaries With Medical Services |
1743 |
Total Medical Submitted Charge Amount |
255276.64 |
Total Medical Medicare Allowed Amount |
77647.06 |
Total Medical Medicare Payment Amount |
59240.81 |
Total Medical Medicare Standardized Payment Amount |
59224.73 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
400 |
Number Of Beneficiaries Age 65 to 74 |
552 |
Number Of Beneficiaries Age 75 to 84 |
479 |
Number Of Beneficiaries Age Greater 84 |
312 |
Number Of Female Beneficiaries |
992 |
Number Of Male Beneficiaries |
751 |
Number Of Non Hispanic White Beneficiaries |
1259 |
Number Of Black or African American Beneficiaries |
239 |
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
184 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1086 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
657 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.2567 |