National Provider Identifier [NPI]: |
1407973993 |
Last Name Of The Provider |
GREGORY |
First Name Of The Provider |
TARA |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1800 WILLIAMS ST |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
DENVER |
Zip Code Of The Provider |
802181234 |
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 |
109 |
Number Of Services |
36087 |
Number Of Medicare Beneficiaries |
321 |
Total Submitted Charge Amount |
1384779.82 |
Total Medicare Allowed Amount |
500218.93 |
Total Medicare Payment Amount |
395116.65 |
Total Medicare Standardized Payment Amount |
399230.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
52 |
Number Of Drug Services |
30534 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
867811.82 |
Total Drug Medicare AllowedAmount |
340340.16 |
Total Drug Medicare PaymentAmount |
267045.48 |
Total Drug Medicare Standardized Payment Amount |
267045.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
5553 |
Number Of Medicare Beneficiaries With Medical Services |
321 |
Total Medical Submitted Charge Amount |
516968 |
Total Medical Medicare Allowed Amount |
159878.77 |
Total Medical Medicare Payment Amount |
128071.17 |
Total Medical Medicare Standardized Payment Amount |
132184.89 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
47 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
132 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
284 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
269 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
29 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
2.8351 |