National Provider Identifier [NPI]: |
1790744324 |
Last Name Of The Provider |
LEONI |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2490 W 26TH AVE |
Street Address 2 Of The Provider |
SUITE 220 |
City Of The Provider |
DENVER |
Zip Code Of The Provider |
802115314 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
260 |
Number Of Services |
4033 |
Number Of Medicare Beneficiaries |
1742 |
Total Submitted Charge Amount |
555230.97 |
Total Medicare Allowed Amount |
132038.59 |
Total Medicare Payment Amount |
102170.75 |
Total Medicare Standardized Payment Amount |
103515.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1517 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
903.97 |
Total Drug Medicare AllowedAmount |
376.7 |
Total Drug Medicare PaymentAmount |
295.3 |
Total Drug Medicare Standardized Payment Amount |
295.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
257 |
Number Of Medical Services |
2516 |
Number Of Medicare Beneficiaries With Medical Services |
1742 |
Total Medical Submitted Charge Amount |
554327 |
Total Medical Medicare Allowed Amount |
131661.89 |
Total Medical Medicare Payment Amount |
101875.45 |
Total Medical Medicare Standardized Payment Amount |
103220 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
325 |
Number Of Beneficiaries Age 65 to 74 |
682 |
Number Of Beneficiaries Age 75 to 84 |
475 |
Number Of Beneficiaries Age Greater 84 |
260 |
Number Of Female Beneficiaries |
985 |
Number Of Male Beneficiaries |
757 |
Number Of Non Hispanic White Beneficiaries |
1419 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
223 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
1336 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
406 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7713 |