National Provider Identifier [NPI]: |
1295769354 |
Last Name Of The Provider |
HAMMOND |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8601 TURNPIKE DRIVE |
Street Address 2 Of The Provider |
#200 |
City Of The Provider |
WESTMINSTER |
Zip Code Of The Provider |
80031 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
1239.5 |
Number Of Medicare Beneficiaries |
186 |
Total Submitted Charge Amount |
104117.34 |
Total Medicare Allowed Amount |
83632.91 |
Total Medicare Payment Amount |
57762.18 |
Total Medicare Standardized Payment Amount |
59123.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
148.5 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
5205 |
Total Drug Medicare AllowedAmount |
3637.07 |
Total Drug Medicare PaymentAmount |
3491.45 |
Total Drug Medicare Standardized Payment Amount |
3491.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
1091 |
Number Of Medicare Beneficiaries With Medical Services |
186 |
Total Medical Submitted Charge Amount |
98912.34 |
Total Medical Medicare Allowed Amount |
79995.84 |
Total Medical Medicare Payment Amount |
54270.73 |
Total Medical Medicare Standardized Payment Amount |
55632.11 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
124 |
Number Of Beneficiaries Age 75 to 84 |
33 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
90 |
Number Of Male Beneficiaries |
96 |
Number Of Non Hispanic White Beneficiaries |
158 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9369 |