National Provider Identifier [NPI]: |
1861507584 |
Last Name Of The Provider |
BUSCH |
First Name Of The Provider |
JOSHUA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4011 TALBOT RD S |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
RENTON |
Zip Code Of The Provider |
980555773 |
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 |
54 |
Number Of Services |
3080 |
Number Of Medicare Beneficiaries |
1614 |
Total Submitted Charge Amount |
554395 |
Total Medicare Allowed Amount |
171760.09 |
Total Medicare Payment Amount |
126027.9 |
Total Medicare Standardized Payment Amount |
120254.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
3080 |
Number Of Medicare Beneficiaries With Medical Services |
1614 |
Total Medical Submitted Charge Amount |
554395 |
Total Medical Medicare Allowed Amount |
171760.09 |
Total Medical Medicare Payment Amount |
126027.9 |
Total Medical Medicare Standardized Payment Amount |
120254.09 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
207 |
Number Of Beneficiaries Age 65 to 74 |
513 |
Number Of Beneficiaries Age 75 to 84 |
535 |
Number Of Beneficiaries Age Greater 84 |
359 |
Number Of Female Beneficiaries |
889 |
Number Of Male Beneficiaries |
725 |
Number Of Non Hispanic White Beneficiaries |
1241 |
Number Of Black or African American Beneficiaries |
125 |
Number Of AsianPacific Islander Beneficiaries |
138 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
52 |
Number Of Beneficiaries With Medicare Only Entitlement |
1198 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
416 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7629 |