National Provider Identifier [NPI]: |
1669457032 |
Last Name Of The Provider |
JOTTE |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10103 RIDGEGATE PKWY |
Street Address 2 Of The Provider |
SUITE G01 |
City Of The Provider |
LONE TREE |
Zip Code Of The Provider |
801245520 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
170 |
Number Of Services |
136041 |
Number Of Medicare Beneficiaries |
763 |
Total Submitted Charge Amount |
11159744 |
Total Medicare Allowed Amount |
3439881.83 |
Total Medicare Payment Amount |
2672643.81 |
Total Medicare Standardized Payment Amount |
2667429.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
84 |
Number Of Drug Services |
123642 |
Number Of Medicare Beneficiaries With Drug Services |
270 |
Total Drug Submitted ChargeAmount |
8734297 |
Total Drug Medicare AllowedAmount |
2653383.4 |
Total Drug Medicare PaymentAmount |
2054836.72 |
Total Drug Medicare Standardized Payment Amount |
2054836.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
12399 |
Number Of Medicare Beneficiaries With Medical Services |
763 |
Total Medical Submitted Charge Amount |
2425447 |
Total Medical Medicare Allowed Amount |
786498.43 |
Total Medical Medicare Payment Amount |
617807.09 |
Total Medical Medicare Standardized Payment Amount |
612592.83 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
378 |
Number Of Beneficiaries Age 75 to 84 |
231 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
409 |
Number Of Male Beneficiaries |
354 |
Number Of Non Hispanic White Beneficiaries |
683 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
703 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.8234 |