National Provider Identifier [NPI]: |
1720047210 |
Last Name Of The Provider |
HOVLAND |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
850 E HARVARD AVE |
Street Address 2 Of The Provider |
SUITE 155 |
City Of The Provider |
DENVER |
Zip Code Of The Provider |
802105073 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
4722 |
Number Of Medicare Beneficiaries |
508 |
Total Submitted Charge Amount |
1602278 |
Total Medicare Allowed Amount |
796089.46 |
Total Medicare Payment Amount |
610638.52 |
Total Medicare Standardized Payment Amount |
604535.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1567 |
Number Of Medicare Beneficiaries With Drug Services |
135 |
Total Drug Submitted ChargeAmount |
876589 |
Total Drug Medicare AllowedAmount |
438165.6 |
Total Drug Medicare PaymentAmount |
343148.6 |
Total Drug Medicare Standardized Payment Amount |
343148.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
3155 |
Number Of Medicare Beneficiaries With Medical Services |
507 |
Total Medical Submitted Charge Amount |
725689 |
Total Medical Medicare Allowed Amount |
357923.86 |
Total Medical Medicare Payment Amount |
267489.92 |
Total Medical Medicare Standardized Payment Amount |
261386.83 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
174 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
285 |
Number Of Male Beneficiaries |
223 |
Number Of Non Hispanic White Beneficiaries |
469 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
481 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.1667 |