National Provider Identifier [NPI]: |
1932169232 |
Last Name Of The Provider |
ECHEVERRI |
First Name Of The Provider |
ARTURO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2900 12TH AVE N |
Street Address 2 Of The Provider |
STE 402E |
City Of The Provider |
BILLINGS |
Zip Code Of The Provider |
591017591 |
State Code Of The Provider |
MT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
5780 |
Number Of Medicare Beneficiaries |
546 |
Total Submitted Charge Amount |
271422.5 |
Total Medicare Allowed Amount |
161448.31 |
Total Medicare Payment Amount |
120348.59 |
Total Medicare Standardized Payment Amount |
117147.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4550 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
63654 |
Total Drug Medicare AllowedAmount |
25359.85 |
Total Drug Medicare PaymentAmount |
19882.13 |
Total Drug Medicare Standardized Payment Amount |
19882.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1230 |
Number Of Medicare Beneficiaries With Medical Services |
546 |
Total Medical Submitted Charge Amount |
207768.5 |
Total Medical Medicare Allowed Amount |
136088.46 |
Total Medical Medicare Payment Amount |
100466.46 |
Total Medical Medicare Standardized Payment Amount |
97265.16 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
199 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
292 |
Number Of Male Beneficiaries |
254 |
Number Of Non Hispanic White Beneficiaries |
495 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
30 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
433 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1615 |