National Provider Identifier [NPI]: |
1649485764 |
Last Name Of The Provider |
CAPIZZI |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2555 S DOWNING ST |
Street Address 2 Of The Provider |
SUITE 240 |
City Of The Provider |
DENVER |
Zip Code Of The Provider |
802105855 |
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 |
93 |
Number Of Services |
44981 |
Number Of Medicare Beneficiaries |
253 |
Total Submitted Charge Amount |
1379894 |
Total Medicare Allowed Amount |
770407.43 |
Total Medicare Payment Amount |
599790.24 |
Total Medicare Standardized Payment Amount |
597757.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
53 |
Number Of Drug Services |
41581 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
1118628 |
Total Drug Medicare AllowedAmount |
637852.39 |
Total Drug Medicare PaymentAmount |
497180.59 |
Total Drug Medicare Standardized Payment Amount |
497180.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3400 |
Number Of Medicare Beneficiaries With Medical Services |
253 |
Total Medical Submitted Charge Amount |
261266 |
Total Medical Medicare Allowed Amount |
132555.04 |
Total Medical Medicare Payment Amount |
102609.65 |
Total Medical Medicare Standardized Payment Amount |
100577.24 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
121 |
Number Of Male Beneficiaries |
132 |
Number Of Non Hispanic White Beneficiaries |
224 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
223 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
31 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
2.0354 |