National Provider Identifier [NPI]: |
1770783607 |
Last Name Of The Provider |
BOONE |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1427 116TH AVE NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BELLEVUE |
Zip Code Of The Provider |
98004 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
127 |
Number Of Services |
1352 |
Number Of Medicare Beneficiaries |
338 |
Total Submitted Charge Amount |
641680.88 |
Total Medicare Allowed Amount |
220432.74 |
Total Medicare Payment Amount |
169319.5 |
Total Medicare Standardized Payment Amount |
160725.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
100 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
4515 |
Total Drug Medicare AllowedAmount |
2520.26 |
Total Drug Medicare PaymentAmount |
1908.37 |
Total Drug Medicare Standardized Payment Amount |
1908.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
123 |
Number Of Medical Services |
1252 |
Number Of Medicare Beneficiaries With Medical Services |
338 |
Total Medical Submitted Charge Amount |
637165.88 |
Total Medical Medicare Allowed Amount |
217912.48 |
Total Medical Medicare Payment Amount |
167411.13 |
Total Medical Medicare Standardized Payment Amount |
158817.62 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
94 |
Number Of Beneficiaries Age 75 to 84 |
125 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
232 |
Number Of Male Beneficiaries |
106 |
Number Of Non Hispanic White Beneficiaries |
314 |
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 |
295 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.4147 |