National Provider Identifier [NPI]: |
1497787352 |
Last Name Of The Provider |
SPENCER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 E HAMPDEN AVE |
Street Address 2 Of The Provider |
STE 410 |
City Of The Provider |
ENGLEWOOD |
Zip Code Of The Provider |
801132736 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
39568 |
Number Of Medicare Beneficiaries |
477 |
Total Submitted Charge Amount |
1428562 |
Total Medicare Allowed Amount |
906846.53 |
Total Medicare Payment Amount |
683688.98 |
Total Medicare Standardized Payment Amount |
685867.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
37703 |
Number Of Medicare Beneficiaries With Drug Services |
182 |
Total Drug Submitted ChargeAmount |
1113675 |
Total Drug Medicare AllowedAmount |
747864.92 |
Total Drug Medicare PaymentAmount |
570448.89 |
Total Drug Medicare Standardized Payment Amount |
570448.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1865 |
Number Of Medicare Beneficiaries With Medical Services |
477 |
Total Medical Submitted Charge Amount |
314887 |
Total Medical Medicare Allowed Amount |
158981.61 |
Total Medical Medicare Payment Amount |
113240.09 |
Total Medical Medicare Standardized Payment Amount |
115419.07 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
213 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
347 |
Number Of Male Beneficiaries |
130 |
Number Of Non Hispanic White Beneficiaries |
445 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
456 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
28 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1997 |