National Provider Identifier [NPI]: |
1285940197 |
Last Name Of The Provider |
ASHERIN |
First Name Of The Provider |
JESSICA |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
799 E HAMPDEN AVE |
Street Address 2 Of The Provider |
SUITE 430 |
City Of The Provider |
ENGLEWOOD |
Zip Code Of The Provider |
801132700 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
972 |
Number Of Medicare Beneficiaries |
297 |
Total Submitted Charge Amount |
72086.7 |
Total Medicare Allowed Amount |
60715.82 |
Total Medicare Payment Amount |
43427.66 |
Total Medicare Standardized Payment Amount |
49352.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
34 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
6489.01 |
Total Drug Medicare AllowedAmount |
5773.63 |
Total Drug Medicare PaymentAmount |
4440.19 |
Total Drug Medicare Standardized Payment Amount |
4440.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
938 |
Number Of Medicare Beneficiaries With Medical Services |
297 |
Total Medical Submitted Charge Amount |
65597.69 |
Total Medical Medicare Allowed Amount |
54942.19 |
Total Medical Medicare Payment Amount |
38987.47 |
Total Medical Medicare Standardized Payment Amount |
44912.18 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
142 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
61 |
Number Of Male Beneficiaries |
236 |
Number Of Non Hispanic White Beneficiaries |
267 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
272 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2877 |