Medicare Facts for Jill D. Siegfried, MS


National Provider Identifier [NPI]: 1013991611
Last Name Of The Provider SIEGFRIED
First Name Of The Provider JILL
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2750 BROADWAY ST
Street Address 2 Of The Provider
City Of The Provider BOULDER
Zip Code Of The Provider 803043573
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 20
Number Of Services 179
Number Of Medicare Beneficiaries 70
Total Submitted Charge Amount 21267.16
Total Medicare Allowed Amount 13704.95
Total Medicare Payment Amount 10611.77
Total Medicare Standardized Payment Amount 10644.95
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 24
Number Of Medicare Beneficiaries With Drug Services 21
Total Drug Submitted ChargeAmount 1242.98
Total Drug Medicare AllowedAmount 920.8
Total Drug Medicare PaymentAmount 901.58
Total Drug Medicare Standardized Payment Amount 901.58
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 16
Number Of Medical Services 155
Number Of Medicare Beneficiaries With Medical Services 70
Total Medical Submitted Charge Amount 20024.18
Total Medical Medicare Allowed Amount 12784.15
Total Medical Medicare Payment Amount 9710.19
Total Medical Medicare Standardized Payment Amount 9743.37
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 49
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 52
Number Of Male Beneficiaries 18
Number Of Non Hispanic White Beneficiaries
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
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 16
Percent Of With Diabetes
Percent Of With Hyperlipidemia 26
Percent Of With Hypertension 36
Percent Of With Ischemic Heart Disease 17
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 24
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.7139

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