National Provider Identifier [NPI]: |
1477646735 |
Last Name Of The Provider |
PAIK |
First Name Of The Provider |
HUI |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11011 MERIDIAN AVE N |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
981338967 |
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 |
89 |
Number Of Services |
1734 |
Number Of Medicare Beneficiaries |
200 |
Total Submitted Charge Amount |
155215.74 |
Total Medicare Allowed Amount |
64744.4 |
Total Medicare Payment Amount |
50894.61 |
Total Medicare Standardized Payment Amount |
48554.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
82 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
2608.74 |
Total Drug Medicare AllowedAmount |
1697.68 |
Total Drug Medicare PaymentAmount |
1646.82 |
Total Drug Medicare Standardized Payment Amount |
1646.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
1652 |
Number Of Medicare Beneficiaries With Medical Services |
200 |
Total Medical Submitted Charge Amount |
152607 |
Total Medical Medicare Allowed Amount |
63046.72 |
Total Medical Medicare Payment Amount |
49247.79 |
Total Medical Medicare Standardized Payment Amount |
46907.66 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
98 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
149 |
Number Of Male Beneficiaries |
51 |
Number Of Non Hispanic White Beneficiaries |
169 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
19 |
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 |
187 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
|
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
16 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
12 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0272 |