National Provider Identifier [NPI]: |
1033256912 |
Last Name Of The Provider |
DOUDS |
First Name Of The Provider |
HOWARD |
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 |
1780 NW MYHRE RD |
Street Address 2 Of The Provider |
SUITE 1220 |
City Of The Provider |
SILVERDALE |
Zip Code Of The Provider |
983838676 |
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 |
197 |
Number Of Services |
8839 |
Number Of Medicare Beneficiaries |
2909 |
Total Submitted Charge Amount |
930242.93 |
Total Medicare Allowed Amount |
348232.91 |
Total Medicare Payment Amount |
294106.32 |
Total Medicare Standardized Payment Amount |
294835.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3574 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
1845.53 |
Total Drug Medicare AllowedAmount |
1845.53 |
Total Drug Medicare PaymentAmount |
1409.19 |
Total Drug Medicare Standardized Payment Amount |
1409.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
194 |
Number Of Medical Services |
5265 |
Number Of Medicare Beneficiaries With Medical Services |
2909 |
Total Medical Submitted Charge Amount |
928397.4 |
Total Medical Medicare Allowed Amount |
346387.38 |
Total Medical Medicare Payment Amount |
292697.13 |
Total Medical Medicare Standardized Payment Amount |
293426.24 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
400 |
Number Of Beneficiaries Age 65 to 74 |
1325 |
Number Of Beneficiaries Age 75 to 84 |
778 |
Number Of Beneficiaries Age Greater 84 |
406 |
Number Of Female Beneficiaries |
2178 |
Number Of Male Beneficiaries |
731 |
Number Of Non Hispanic White Beneficiaries |
2653 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
73 |
Number Of Hispanic Beneficiaries |
70 |
Number Of American Indian Alaska Native Beneficiaries |
31 |
Number Of Beneficiaries With Race Not Else where Classified |
49 |
Number Of Beneficiaries With Medicare Only Entitlement |
2320 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
589 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3352 |