National Provider Identifier [NPI]: |
1508149410 |
Last Name Of The Provider |
SONNI |
First Name Of The Provider |
SMITHA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5725 POPPY WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
GOLDEN |
Zip Code Of The Provider |
804032048 |
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 |
140 |
Number Of Services |
3726 |
Number Of Medicare Beneficiaries |
2936 |
Total Submitted Charge Amount |
803336.46 |
Total Medicare Allowed Amount |
115140.22 |
Total Medicare Payment Amount |
88706.65 |
Total Medicare Standardized Payment Amount |
91421.84 |
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 |
140 |
Number Of Medical Services |
3726 |
Number Of Medicare Beneficiaries With Medical Services |
2936 |
Total Medical Submitted Charge Amount |
803336.46 |
Total Medical Medicare Allowed Amount |
115140.22 |
Total Medical Medicare Payment Amount |
88706.65 |
Total Medical Medicare Standardized Payment Amount |
91421.84 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
632 |
Number Of Beneficiaries Age 65 to 74 |
849 |
Number Of Beneficiaries Age 75 to 84 |
806 |
Number Of Beneficiaries Age Greater 84 |
649 |
Number Of Female Beneficiaries |
1765 |
Number Of Male Beneficiaries |
1171 |
Number Of Non Hispanic White Beneficiaries |
1500 |
Number Of Black or African American Beneficiaries |
886 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
504 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1759 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1177 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.4498 |