National Provider Identifier [NPI]: |
1205850112 |
Last Name Of The Provider |
HINKE |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
M |
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 |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
6898 |
Number Of Medicare Beneficiaries |
1251 |
Total Submitted Charge Amount |
366782.49 |
Total Medicare Allowed Amount |
108999.36 |
Total Medicare Payment Amount |
80770.75 |
Total Medicare Standardized Payment Amount |
77845.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
5176 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
5439.49 |
Total Drug Medicare AllowedAmount |
984.96 |
Total Drug Medicare PaymentAmount |
694.71 |
Total Drug Medicare Standardized Payment Amount |
694.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
116 |
Number Of Medical Services |
1722 |
Number Of Medicare Beneficiaries With Medical Services |
1251 |
Total Medical Submitted Charge Amount |
361343 |
Total Medical Medicare Allowed Amount |
108014.4 |
Total Medical Medicare Payment Amount |
80076.04 |
Total Medical Medicare Standardized Payment Amount |
77150.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
558 |
Number Of Beneficiaries Age 75 to 84 |
366 |
Number Of Beneficiaries Age Greater 84 |
172 |
Number Of Female Beneficiaries |
655 |
Number Of Male Beneficiaries |
596 |
Number Of Non Hispanic White Beneficiaries |
1061 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
78 |
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1034 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
217 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7639 |