National Provider Identifier [NPI]: |
1467439398 |
Last Name Of The Provider |
HARMON |
First Name Of The Provider |
BEN |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
19020 33RD AVE W |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
LYNNWOOD |
Zip Code Of The Provider |
980364746 |
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 |
171 |
Number Of Services |
6828 |
Number Of Medicare Beneficiaries |
2751 |
Total Submitted Charge Amount |
905916.63 |
Total Medicare Allowed Amount |
226788.37 |
Total Medicare Payment Amount |
169676.34 |
Total Medicare Standardized Payment Amount |
170187 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3367 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
2354.5 |
Total Drug Medicare AllowedAmount |
1281.52 |
Total Drug Medicare PaymentAmount |
982.84 |
Total Drug Medicare Standardized Payment Amount |
982.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
166 |
Number Of Medical Services |
3461 |
Number Of Medicare Beneficiaries With Medical Services |
2750 |
Total Medical Submitted Charge Amount |
903562.13 |
Total Medical Medicare Allowed Amount |
225506.85 |
Total Medical Medicare Payment Amount |
168693.5 |
Total Medical Medicare Standardized Payment Amount |
169204.16 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
439 |
Number Of Beneficiaries Age 65 to 74 |
1001 |
Number Of Beneficiaries Age 75 to 84 |
822 |
Number Of Beneficiaries Age Greater 84 |
489 |
Number Of Female Beneficiaries |
1657 |
Number Of Male Beneficiaries |
1094 |
Number Of Non Hispanic White Beneficiaries |
2449 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
114 |
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
28 |
Number Of Beneficiaries With Race Not Else where Classified |
45 |
Number Of Beneficiaries With Medicare Only Entitlement |
2111 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
640 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4764 |