National Provider Identifier [NPI]: |
1184699365 |
Last Name Of The Provider |
SEARS |
First Name Of The Provider |
JOEL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1807 N HUTCHINSON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPOKANE VALLEY |
Zip Code Of The Provider |
992122444 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
4077 |
Number Of Medicare Beneficiaries |
792 |
Total Submitted Charge Amount |
1433505.4 |
Total Medicare Allowed Amount |
679236.47 |
Total Medicare Payment Amount |
523320.12 |
Total Medicare Standardized Payment Amount |
521471.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
4451.4 |
Total Drug Medicare AllowedAmount |
3788.99 |
Total Drug Medicare PaymentAmount |
2938.08 |
Total Drug Medicare Standardized Payment Amount |
2938.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
4025 |
Number Of Medicare Beneficiaries With Medical Services |
792 |
Total Medical Submitted Charge Amount |
1429054 |
Total Medical Medicare Allowed Amount |
675447.48 |
Total Medical Medicare Payment Amount |
520382.04 |
Total Medical Medicare Standardized Payment Amount |
518533.24 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
296 |
Number Of Beneficiaries Age 75 to 84 |
335 |
Number Of Beneficiaries Age Greater 84 |
142 |
Number Of Female Beneficiaries |
333 |
Number Of Male Beneficiaries |
459 |
Number Of Non Hispanic White Beneficiaries |
774 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
759 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0174 |