National Provider Identifier [NPI]: |
1427177120 |
Last Name Of The Provider |
ZIMA |
First Name Of The Provider |
AARON |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1304 FAWCETT AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
TACOMA |
Zip Code Of The Provider |
984021911 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
6493 |
Number Of Medicare Beneficiaries |
1987 |
Total Submitted Charge Amount |
1074144.14 |
Total Medicare Allowed Amount |
250406.69 |
Total Medicare Payment Amount |
188055.94 |
Total Medicare Standardized Payment Amount |
192615.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3580 |
Number Of Medicare Beneficiaries With Drug Services |
117 |
Total Drug Submitted ChargeAmount |
15058.5 |
Total Drug Medicare AllowedAmount |
3500.29 |
Total Drug Medicare PaymentAmount |
2703.93 |
Total Drug Medicare Standardized Payment Amount |
2703.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
2913 |
Number Of Medicare Beneficiaries With Medical Services |
1987 |
Total Medical Submitted Charge Amount |
1059085.64 |
Total Medical Medicare Allowed Amount |
246906.4 |
Total Medical Medicare Payment Amount |
185352.01 |
Total Medical Medicare Standardized Payment Amount |
189911.95 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
422 |
Number Of Beneficiaries Age 65 to 74 |
668 |
Number Of Beneficiaries Age 75 to 84 |
534 |
Number Of Beneficiaries Age Greater 84 |
363 |
Number Of Female Beneficiaries |
1176 |
Number Of Male Beneficiaries |
811 |
Number Of Non Hispanic White Beneficiaries |
1612 |
Number Of Black or African American Beneficiaries |
148 |
Number Of AsianPacific Islander Beneficiaries |
111 |
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
28 |
Number Of Beneficiaries With Race Not Else where Classified |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
1404 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
583 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
1.6776 |