National Provider Identifier [NPI]: |
1104821677 |
Last Name Of The Provider |
BROWNRIGG |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4100 JERRY MURPHY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PUEBLO |
Zip Code Of The Provider |
810011076 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
4076 |
Number Of Medicare Beneficiaries |
519 |
Total Submitted Charge Amount |
676386.78 |
Total Medicare Allowed Amount |
242980.17 |
Total Medicare Payment Amount |
183241.87 |
Total Medicare Standardized Payment Amount |
183275.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1377 |
Number Of Medicare Beneficiaries With Drug Services |
129 |
Total Drug Submitted ChargeAmount |
54153 |
Total Drug Medicare AllowedAmount |
26201.5 |
Total Drug Medicare PaymentAmount |
20443.03 |
Total Drug Medicare Standardized Payment Amount |
20443.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
2699 |
Number Of Medicare Beneficiaries With Medical Services |
519 |
Total Medical Submitted Charge Amount |
622233.78 |
Total Medical Medicare Allowed Amount |
216778.67 |
Total Medical Medicare Payment Amount |
162798.84 |
Total Medical Medicare Standardized Payment Amount |
162832.06 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
189 |
Number Of Beneficiaries Age 75 to 84 |
159 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
125 |
Number Of Male Beneficiaries |
394 |
Number Of Non Hispanic White Beneficiaries |
365 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
136 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
362 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
157 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2932 |