| National Provider Identifier [NPI]: | 1326029992 | 
| Last Name Of The Provider | FRERKER | 
| First Name Of The Provider | LAWRENCE | 
| Middle Initial Of The Provider | J | 
| Credentials Of The Provider | MD | 
| Gender Of The Provider | M | 
| Entity Type Of The Provider | I | 
| Street Address 1 Of The Provider | 7373 W JEFFERSON AVE | 
| Street Address 2 Of The Provider | SUITE 202 | 
| City Of The Provider | LAKEWOOD | 
| Zip Code Of The Provider | 802352038 | 
| 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 | 18 | 
| Number Of Services | 241 | 
| Number Of Medicare Beneficiaries | 48 | 
| Total Submitted Charge Amount | 27998 | 
| Total Medicare Allowed Amount | 17925.89 | 
| Total Medicare Payment Amount | 12873.87 | 
| Total Medicare Standardized Payment Amount | 12831.35 | 
| Drug Suppress Indicator | * | 
| Number Of HCPCS Associated With Drug Services | |
| Number Of Drug Services | |
| Number Of Medicare Beneficiaries With Drug Services | |
| Total Drug Submitted ChargeAmount | |
| Total Drug Medicare AllowedAmount | |
| Total Drug Medicare PaymentAmount | |
| Total Drug Medicare Standardized Payment Amount | |
| Medical SuppressIndicator | # | 
| Number Of HCPCS Associated With MedicalServices | |
| Number Of Medical Services | |
| Number Of Medicare Beneficiaries With Medical Services | |
| Total Medical Submitted Charge Amount | |
| Total Medical Medicare Allowed Amount | |
| Total Medical Medicare Payment Amount | |
| Total Medical Medicare Standardized Payment Amount | |
| Average Age Of Beneficiaries | 72 | 
| Number Of Beneficiaries Age Less65 | |
| Number Of Beneficiaries Age 65 to 74 | 26 | 
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 19 | 
| Number Of Male Beneficiaries | 29 | 
| 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 | |
| Percent Of With Diabetes | |
| Percent Of With Hyperlipidemia | 71 | 
| Percent Of With Hypertension | 67 | 
| Percent Of With Ischemic Heart Disease | 33 | 
| Percent Of With Osteoporosis | |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 31 | 
| Percent Of With Schizophrenia Other PsychoticDisorders | 0 | 
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 0.9123 |