National Provider Identifier [NPI]: |
1659457307 |
Last Name Of The Provider |
SHEFFIELD |
First Name Of The Provider |
PAMELA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1909 214TH ST SE |
Street Address 2 Of The Provider |
STE 110 |
City Of The Provider |
BOTHELL |
Zip Code Of The Provider |
980214412 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
887 |
Number Of Medicare Beneficiaries |
271 |
Total Submitted Charge Amount |
64018.8 |
Total Medicare Allowed Amount |
31629.81 |
Total Medicare Payment Amount |
22350.31 |
Total Medicare Standardized Payment Amount |
21078.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
33 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
886.34 |
Total Drug Medicare AllowedAmount |
655.54 |
Total Drug Medicare PaymentAmount |
630.89 |
Total Drug Medicare Standardized Payment Amount |
630.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
854 |
Number Of Medicare Beneficiaries With Medical Services |
271 |
Total Medical Submitted Charge Amount |
63132.46 |
Total Medical Medicare Allowed Amount |
30974.27 |
Total Medical Medicare Payment Amount |
21719.42 |
Total Medical Medicare Standardized Payment Amount |
20447.21 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
100 |
Number Of Beneficiaries Age 75 to 84 |
79 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
163 |
Number Of Male Beneficiaries |
108 |
Number Of Non Hispanic White Beneficiaries |
224 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
16 |
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 |
209 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1086 |