National Provider Identifier [NPI]: |
1679577142 |
Last Name Of The Provider |
HUGHES |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2901 SQUALICUM PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
BELLINGHAM |
Zip Code Of The Provider |
982251851 |
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 |
221 |
Number Of Services |
7573 |
Number Of Medicare Beneficiaries |
2680 |
Total Submitted Charge Amount |
1430959.75 |
Total Medicare Allowed Amount |
250580.57 |
Total Medicare Payment Amount |
185441.47 |
Total Medicare Standardized Payment Amount |
187253.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3379 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
6507.9 |
Total Drug Medicare AllowedAmount |
3225.73 |
Total Drug Medicare PaymentAmount |
2483.43 |
Total Drug Medicare Standardized Payment Amount |
2483.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
217 |
Number Of Medical Services |
4194 |
Number Of Medicare Beneficiaries With Medical Services |
2680 |
Total Medical Submitted Charge Amount |
1424451.85 |
Total Medical Medicare Allowed Amount |
247354.84 |
Total Medical Medicare Payment Amount |
182958.04 |
Total Medical Medicare Standardized Payment Amount |
184770.13 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
406 |
Number Of Beneficiaries Age 65 to 74 |
958 |
Number Of Beneficiaries Age 75 to 84 |
848 |
Number Of Beneficiaries Age Greater 84 |
468 |
Number Of Female Beneficiaries |
1519 |
Number Of Male Beneficiaries |
1161 |
Number Of Non Hispanic White Beneficiaries |
2398 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
61 |
Number Of Hispanic Beneficiaries |
72 |
Number Of American Indian Alaska Native Beneficiaries |
88 |
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
2019 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
661 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.402 |