National Provider Identifier [NPI]: |
1811212715 |
Last Name Of The Provider |
FOSTER |
First Name Of The Provider |
SARAH |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3417 ENSIGN RD NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
OLYMPIA |
Zip Code Of The Provider |
985065064 |
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 |
149 |
Number Of Services |
7362 |
Number Of Medicare Beneficiaries |
1157 |
Total Submitted Charge Amount |
478098.32 |
Total Medicare Allowed Amount |
133150.91 |
Total Medicare Payment Amount |
103483.52 |
Total Medicare Standardized Payment Amount |
104960.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
5807 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
8539.32 |
Total Drug Medicare AllowedAmount |
2843.24 |
Total Drug Medicare PaymentAmount |
2229.11 |
Total Drug Medicare Standardized Payment Amount |
2229.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
145 |
Number Of Medical Services |
1555 |
Number Of Medicare Beneficiaries With Medical Services |
1157 |
Total Medical Submitted Charge Amount |
469559 |
Total Medical Medicare Allowed Amount |
130307.67 |
Total Medical Medicare Payment Amount |
101254.41 |
Total Medical Medicare Standardized Payment Amount |
102731.41 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
202 |
Number Of Beneficiaries Age 65 to 74 |
479 |
Number Of Beneficiaries Age 75 to 84 |
335 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
703 |
Number Of Male Beneficiaries |
454 |
Number Of Non Hispanic White Beneficiaries |
1057 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
20 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
930 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
227 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.1734 |