National Provider Identifier [NPI]: |
1225175359 |
Last Name Of The Provider |
SCHUESSLER |
First Name Of The Provider |
RACHAEL |
Middle Initial Of The Provider |
U |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11011 MERIDIAN AVE N |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
981338967 |
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 |
74 |
Number Of Services |
481 |
Number Of Medicare Beneficiaries |
80 |
Total Submitted Charge Amount |
44114 |
Total Medicare Allowed Amount |
18387.45 |
Total Medicare Payment Amount |
14848.54 |
Total Medicare Standardized Payment Amount |
14155.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
17 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
892 |
Total Drug Medicare AllowedAmount |
654.64 |
Total Drug Medicare PaymentAmount |
641.17 |
Total Drug Medicare Standardized Payment Amount |
641.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
464 |
Number Of Medicare Beneficiaries With Medical Services |
80 |
Total Medical Submitted Charge Amount |
43222 |
Total Medical Medicare Allowed Amount |
17732.81 |
Total Medical Medicare Payment Amount |
14207.37 |
Total Medical Medicare Standardized Payment Amount |
13514.02 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
35 |
Number Of Beneficiaries Age 75 to 84 |
25 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
69 |
Number Of Male Beneficiaries |
11 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
15 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
26 |
Percent Of With Hypertension |
43 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
18 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0082 |