National Provider Identifier [NPI]: |
1134326283 |
Last Name Of The Provider |
DOWNEY |
First Name Of The Provider |
RYAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10049 KITSAP MALL BLVD NW |
Street Address 2 Of The Provider |
SUITE 109 |
City Of The Provider |
SILVERDALE |
Zip Code Of The Provider |
983838903 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
2539 |
Number Of Medicare Beneficiaries |
575 |
Total Submitted Charge Amount |
362002 |
Total Medicare Allowed Amount |
181337.98 |
Total Medicare Payment Amount |
131011.36 |
Total Medicare Standardized Payment Amount |
133369.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
22 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
242 |
Total Drug Medicare AllowedAmount |
50.09 |
Total Drug Medicare PaymentAmount |
28.72 |
Total Drug Medicare Standardized Payment Amount |
28.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
2517 |
Number Of Medicare Beneficiaries With Medical Services |
575 |
Total Medical Submitted Charge Amount |
361760 |
Total Medical Medicare Allowed Amount |
181287.89 |
Total Medical Medicare Payment Amount |
130982.64 |
Total Medical Medicare Standardized Payment Amount |
133340.73 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
239 |
Number Of Beneficiaries Age 75 to 84 |
161 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
325 |
Number Of Male Beneficiaries |
250 |
Number Of Non Hispanic White Beneficiaries |
535 |
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 |
469 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
106 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5046 |