National Provider Identifier [NPI]: |
1043289796 |
Last Name Of The Provider |
BOKHARI |
First Name Of The Provider |
FREEHA |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16233 SYLVESTER RD SW |
Street Address 2 Of The Provider |
SUITE G40 |
City Of The Provider |
BURIEN |
Zip Code Of The Provider |
981663045 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
420 |
Number Of Medicare Beneficiaries |
94 |
Total Submitted Charge Amount |
73770.19 |
Total Medicare Allowed Amount |
30769.53 |
Total Medicare Payment Amount |
21879.87 |
Total Medicare Standardized Payment Amount |
20751.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
59 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
2809.53 |
Total Drug Medicare AllowedAmount |
1193.47 |
Total Drug Medicare PaymentAmount |
1151.09 |
Total Drug Medicare Standardized Payment Amount |
1151.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
361 |
Number Of Medicare Beneficiaries With Medical Services |
94 |
Total Medical Submitted Charge Amount |
70960.66 |
Total Medical Medicare Allowed Amount |
29576.06 |
Total Medical Medicare Payment Amount |
20728.78 |
Total Medical Medicare Standardized Payment Amount |
19599.98 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
45 |
Number Of Beneficiaries Age 75 to 84 |
16 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
72 |
Number Of Male Beneficiaries |
22 |
Number Of Non Hispanic White Beneficiaries |
74 |
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 |
69 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0728 |