National Provider Identifier [NPI]: |
1467425959 |
Last Name Of The Provider |
HOLMES |
First Name Of The Provider |
JOHN |
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 |
1100 9TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
981012756 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
7656 |
Number Of Medicare Beneficiaries |
2318 |
Total Submitted Charge Amount |
785856.97 |
Total Medicare Allowed Amount |
263873.98 |
Total Medicare Payment Amount |
193514.29 |
Total Medicare Standardized Payment Amount |
190933.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2094 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
12716.1 |
Total Drug Medicare AllowedAmount |
3729.44 |
Total Drug Medicare PaymentAmount |
2856.9 |
Total Drug Medicare Standardized Payment Amount |
2856.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
5562 |
Number Of Medicare Beneficiaries With Medical Services |
2318 |
Total Medical Submitted Charge Amount |
773140.87 |
Total Medical Medicare Allowed Amount |
260144.54 |
Total Medical Medicare Payment Amount |
190657.39 |
Total Medical Medicare Standardized Payment Amount |
188076.38 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
213 |
Number Of Beneficiaries Age 65 to 74 |
902 |
Number Of Beneficiaries Age 75 to 84 |
787 |
Number Of Beneficiaries Age Greater 84 |
416 |
Number Of Female Beneficiaries |
1026 |
Number Of Male Beneficiaries |
1292 |
Number Of Non Hispanic White Beneficiaries |
1998 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
142 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
21 |
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
2016 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
302 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
5 |
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 |
1.4772 |