National Provider Identifier [NPI]: |
1093883951 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
HOWARD |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
920 N 1ST ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
RENTON |
Zip Code Of The Provider |
980551759 |
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 |
33 |
Number Of Services |
3776 |
Number Of Medicare Beneficiaries |
457 |
Total Submitted Charge Amount |
386344 |
Total Medicare Allowed Amount |
253028.5 |
Total Medicare Payment Amount |
175457.79 |
Total Medicare Standardized Payment Amount |
165181.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
441 |
Number Of Medicare Beneficiaries With Drug Services |
238 |
Total Drug Submitted ChargeAmount |
12095 |
Total Drug Medicare AllowedAmount |
8680.13 |
Total Drug Medicare PaymentAmount |
8310.07 |
Total Drug Medicare Standardized Payment Amount |
8310.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
3335 |
Number Of Medicare Beneficiaries With Medical Services |
456 |
Total Medical Submitted Charge Amount |
374249 |
Total Medical Medicare Allowed Amount |
244348.37 |
Total Medical Medicare Payment Amount |
167147.72 |
Total Medical Medicare Standardized Payment Amount |
156871.04 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
206 |
Number Of Beneficiaries Age 75 to 84 |
154 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
232 |
Number Of Male Beneficiaries |
225 |
Number Of Non Hispanic White Beneficiaries |
403 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
16 |
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 |
437 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
23 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9944 |