Dr. Diane Lucy Kallgren

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Diane Lucy Kallgren
Gender:	F
Provider License Number If Given:	33197

NPI Information:

NPI:	1144214016
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/7/2005
Last Update Date:	8/27/2007

Provider Business Mailing Address:

Address:	3434 47TH ST #200 Boulder, CO 80301
Phone Number:	3034448100
Fax Number:	3034448113

Provider Business Practice Location Address:

Address:	3434 47TH ST #200 Boulder, CO 80301
Phone Number:	3034448100
Fax Number:	3034448113

Provider Taxonomy:

Primary:	174400000X
Secondary (if any):	207ND0900X
State:	CO

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About Dr. Diane Lucy Kallgren

Dr. Diane Lucy Kallgren (DR. DIANE LUCY KALLGREN ) is An Specialist Physician in Boulder, CO. The NPI Number for Dr. Diane Lucy Kallgren is 1144214016.

The current location address for Dr. Diane Lucy Kallgren is 3434 47TH ST #200 Boulder, CO 80301 and the contact number is 3034448100 and fax number is 3034448113. The mailing address for Dr. Diane Lucy Kallgren is 3434 47TH ST #200 Boulder, CO 80301- 3034448100 (mailing address contact number - 3034448100).

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Diane Lucy Kallgren ?

Answer: The NPI Number for Dr. Diane Lucy Kallgren is 1144214016

Where is Dr. Diane Lucy Kallgren located?

Answer: Dr. Diane Lucy Kallgren is located at 3434 47TH ST #200 Boulder, CO 80301.

What is the specialty for Dr. Diane Lucy Kallgren ?

Answer: The Specialty of Dr. Diane Lucy Kallgren is An Specialist Physician.

Are there any online reviews for Dr. Diane Lucy Kallgren ?

Answer: Not yet!

Are there any other health care providers in Boulder, CO?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Diane Lucy Kallgren

Number of HCPCS	49
Number of Medicare Beneficiaries	848
Number of Services	7209
Total Submitted Charge Amount	340166
Total Medicare Allowed Amount	229014.61
Total Medicare Payment Amount	159905.93
Total Medicare Standardized Payment Amount	151566.89
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	2
Number of Medicare Beneficiaries With Drug Services	22
Number of Drug Services	3407
Total Drug Submitted Charge Amount	5373
Total Drug Medicare Allowed Amount	5168.9
Total Drug Medicare Payment Amount	4135.11
Total Drug Medicare Standardized Payment Amount	4052.38
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	47
Number of Medicare Beneficiaries With Medical	848
Number of Medical Services	3802
Total Medical Submitted Charge Amount	334793
Total Medical Medicare Allowed Amount	223845.71
Total Medical Medicare Payment Amount	155770.82
Total Medical Medicare Standardized Payment Amount	147514.51
Average Age of Beneficiaries	75
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	461
Number of Beneficiaries Age 75 to 84	300
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	511
Number of Male Beneficiaries	337
Number of Non-Hispanic White Beneficiaries	786
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.06
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.04
Percent (%) of Beneficiaries Identified With Asthma	0.05
Percent (%) of Beneficiaries Identified With Cancer	0.1
Percent (%) of Beneficiaries Identified With Heart Failure	0.05
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.1
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.05
Percent (%) of Beneficiaries Identified With Depression	0.14
Percent (%) of Beneficiaries Identified With Diabetes	0.08
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.41
Percent (%) of Beneficiaries Identified With Hypertension	0.37
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.28
Percent (%) of Beneficiaries Identified With Osteoporosis	0.15
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.39
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0.03
Average HCC Risk Score of Beneficiaries	0.7369

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Dermatology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	393
Number of Standardized 30-Day Fills	472.03333333
Aggregate Cost Paid for All Claims	16980.64
Number of Day's Supply for All Claims	11885
Number of Medicare Beneficiaries	174
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	16
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	377
Aggregate Cost Paid for Generic Drugs	13000.14
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	0
Aggregate Cost Paid for Other Drugs	0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	92
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	4915.95
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	301
Aggregate Cost Paid for Claims Filled by	12064.69
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst	*
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst	#
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including	0
Aggregate Cost Paid for Opioid Drugs	0
Opioid Claims	0
Opioid_Tot_Clms divided by the Tot_Clms	0
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims	0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	33
Aggregate Cost Paid for Antibiotic Drugs	1048.74
Antibiotic Claims	12
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst	*
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	75.155172414
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	112
Number of Male Beneficiaries	62
Number of Non-Hispanic White	158
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	12
Only Entitlement
Average Hierarchical Condition Category	0.7980574713

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