| National Provider Identifier [NPI]: | 1861429953 |
| Last Name Of The Provider | FARRER |
| First Name Of The Provider | RYAN |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1108 BASICH BLVD |
| Street Address 2 Of The Provider | ABERDEEN |
| City Of The Provider | ABERDEEN |
| Zip Code Of The Provider | 985201066 |
| 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 | 219 |
| Number Of Services | 9952 |
| Number Of Medicare Beneficiaries | 3816 |
| Total Submitted Charge Amount | 866911.91 |
| Total Medicare Allowed Amount | 283914.05 |
| Total Medicare Payment Amount | 215454.78 |
| Total Medicare Standardized Payment Amount | 220389.16 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1726 |
| Number Of Medicare Beneficiaries With Drug Services | 24 |
| Total Drug Submitted ChargeAmount | 1658.85 |
| Total Drug Medicare AllowedAmount | 825.39 |
| Total Drug Medicare PaymentAmount | 647.11 |
| Total Drug Medicare Standardized Payment Amount | 647.11 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 216 |
| Number Of Medical Services | 8226 |
| Number Of Medicare Beneficiaries With Medical Services | 3815 |
| Total Medical Submitted Charge Amount | 865253.06 |
| Total Medical Medicare Allowed Amount | 283088.66 |
| Total Medical Medicare Payment Amount | 214807.67 |
| Total Medical Medicare Standardized Payment Amount | 219742.05 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 703 |
| Number Of Beneficiaries Age 65 to 74 | 1607 |
| Number Of Beneficiaries Age 75 to 84 | 999 |
| Number Of Beneficiaries Age Greater 84 | 507 |
| Number Of Female Beneficiaries | 2375 |
| Number Of Male Beneficiaries | 1441 |
| Number Of Non Hispanic White Beneficiaries | 3546 |
| Number Of Black or African American Beneficiaries | 21 |
| Number Of AsianPacific Islander Beneficiaries | 29 |
| Number Of Hispanic Beneficiaries | 60 |
| Number Of American Indian Alaska Native Beneficiaries | 127 |
| Number Of Beneficiaries With Race Not Else where Classified | 33 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2859 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 957 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 48 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 31 |
| Percent Of With Osteoporosis | 4 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 33 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.232 |