National Provider Identifier [NPI]: |
1982688552 |
Last Name Of The Provider |
DOWNEY |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6005 244TH ST SW |
Street Address 2 Of The Provider |
STE 111 |
City Of The Provider |
MOUNTLAKE TERRACE |
Zip Code Of The Provider |
980435400 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
8757 |
Number Of Medicare Beneficiaries |
862 |
Total Submitted Charge Amount |
723503.63 |
Total Medicare Allowed Amount |
363533.1 |
Total Medicare Payment Amount |
269715.28 |
Total Medicare Standardized Payment Amount |
273550.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
3354 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
54703.13 |
Total Drug Medicare AllowedAmount |
37980.5 |
Total Drug Medicare PaymentAmount |
29684.05 |
Total Drug Medicare Standardized Payment Amount |
29684.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
5403 |
Number Of Medicare Beneficiaries With Medical Services |
862 |
Total Medical Submitted Charge Amount |
668800.5 |
Total Medical Medicare Allowed Amount |
325552.6 |
Total Medical Medicare Payment Amount |
240031.23 |
Total Medical Medicare Standardized Payment Amount |
243866.2 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
298 |
Number Of Beneficiaries Age 75 to 84 |
354 |
Number Of Beneficiaries Age Greater 84 |
163 |
Number Of Female Beneficiaries |
220 |
Number Of Male Beneficiaries |
642 |
Number Of Non Hispanic White Beneficiaries |
789 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
778 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1913 |