National Provider Identifier [NPI]: |
1447270970 |
Last Name Of The Provider |
HAO |
First Name Of The Provider |
GENE |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1407 116TH AVE NE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
BELLEVUE |
Zip Code Of The Provider |
980043819 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
3987 |
Number Of Medicare Beneficiaries |
426 |
Total Submitted Charge Amount |
303397.18 |
Total Medicare Allowed Amount |
145685.57 |
Total Medicare Payment Amount |
116783.16 |
Total Medicare Standardized Payment Amount |
112004.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
236 |
Number Of Medicare Beneficiaries With Drug Services |
143 |
Total Drug Submitted ChargeAmount |
23175.68 |
Total Drug Medicare AllowedAmount |
16794.57 |
Total Drug Medicare PaymentAmount |
16288.33 |
Total Drug Medicare Standardized Payment Amount |
16288.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
3751 |
Number Of Medicare Beneficiaries With Medical Services |
426 |
Total Medical Submitted Charge Amount |
280221.5 |
Total Medical Medicare Allowed Amount |
128891 |
Total Medical Medicare Payment Amount |
100494.83 |
Total Medical Medicare Standardized Payment Amount |
95716.62 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
165 |
Number Of Beneficiaries Age 75 to 84 |
180 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
162 |
Number Of Male Beneficiaries |
264 |
Number Of Non Hispanic White Beneficiaries |
377 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
5 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8812 |