| National Provider Identifier [NPI]: | 1487618757 |
| Last Name Of The Provider | BJARKE |
| First Name Of The Provider | ERIK |
| Middle Initial Of The Provider | N |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 222 15TH AVE SE |
| Street Address 2 Of The Provider | |
| City Of The Provider | PUYALLUP |
| Zip Code Of The Provider | 983723754 |
| 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 | 143 |
| Number Of Services | 15455 |
| Number Of Medicare Beneficiaries | 3439 |
| Total Submitted Charge Amount | 1056516 |
| Total Medicare Allowed Amount | 330306.29 |
| Total Medicare Payment Amount | 272464.81 |
| Total Medicare Standardized Payment Amount | 272821.85 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 10047 |
| Number Of Medicare Beneficiaries With Drug Services | 121 |
| Total Drug Submitted ChargeAmount | 20106 |
| Total Drug Medicare AllowedAmount | 1932.09 |
| Total Drug Medicare PaymentAmount | 1490.75 |
| Total Drug Medicare Standardized Payment Amount | 1490.75 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 139 |
| Number Of Medical Services | 5408 |
| Number Of Medicare Beneficiaries With Medical Services | 3439 |
| Total Medical Submitted Charge Amount | 1036410 |
| Total Medical Medicare Allowed Amount | 328374.2 |
| Total Medical Medicare Payment Amount | 270974.06 |
| Total Medical Medicare Standardized Payment Amount | 271331.1 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 428 |
| Number Of Beneficiaries Age 65 to 74 | 1561 |
| Number Of Beneficiaries Age 75 to 84 | 1063 |
| Number Of Beneficiaries Age Greater 84 | 387 |
| Number Of Female Beneficiaries | 2436 |
| Number Of Male Beneficiaries | 1003 |
| Number Of Non Hispanic White Beneficiaries | 3083 |
| Number Of Black or African American Beneficiaries | 92 |
| Number Of AsianPacific Islander Beneficiaries | 101 |
| Number Of Hispanic Beneficiaries | 78 |
| Number Of American Indian Alaska Native Beneficiaries | 17 |
| Number Of Beneficiaries With Race Not Else where Classified | 68 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2938 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 501 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 28 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.2352 |