National Provider Identifier [NPI]: |
1083659262 |
Last Name Of The Provider |
TARBET |
First Name Of The Provider |
KRISTIN |
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 |
1810 116TH AVE NE STE D1 |
Street Address 2 Of The Provider |
|
City Of The Provider |
BELLEVUE |
Zip Code Of The Provider |
980043058 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
2873 |
Number Of Medicare Beneficiaries |
260 |
Total Submitted Charge Amount |
426969.46 |
Total Medicare Allowed Amount |
191610.08 |
Total Medicare Payment Amount |
146030.22 |
Total Medicare Standardized Payment Amount |
124355.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1929 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
27029 |
Total Drug Medicare AllowedAmount |
10547.56 |
Total Drug Medicare PaymentAmount |
7622.69 |
Total Drug Medicare Standardized Payment Amount |
7622.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
944 |
Number Of Medicare Beneficiaries With Medical Services |
260 |
Total Medical Submitted Charge Amount |
399940.46 |
Total Medical Medicare Allowed Amount |
181062.52 |
Total Medical Medicare Payment Amount |
138407.53 |
Total Medical Medicare Standardized Payment Amount |
116732.78 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
125 |
Number Of Beneficiaries Age 75 to 84 |
91 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
157 |
Number Of Male Beneficiaries |
103 |
Number Of Non Hispanic White Beneficiaries |
242 |
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 |
248 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9744 |