National Provider Identifier [NPI]: |
1558367813 |
Last Name Of The Provider |
BEHRNDT |
First Name Of The Provider |
VALERIE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
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 |
66 |
Number Of Services |
2733 |
Number Of Medicare Beneficiaries |
1299 |
Total Submitted Charge Amount |
871868.4 |
Total Medicare Allowed Amount |
200677.3 |
Total Medicare Payment Amount |
161847.4 |
Total Medicare Standardized Payment Amount |
160889.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
502 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
1516 |
Total Drug Medicare AllowedAmount |
996.21 |
Total Drug Medicare PaymentAmount |
757.41 |
Total Drug Medicare Standardized Payment Amount |
757.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
2231 |
Number Of Medicare Beneficiaries With Medical Services |
1299 |
Total Medical Submitted Charge Amount |
870352.4 |
Total Medical Medicare Allowed Amount |
199681.09 |
Total Medical Medicare Payment Amount |
161089.99 |
Total Medical Medicare Standardized Payment Amount |
160132.13 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
150 |
Number Of Beneficiaries Age 65 to 74 |
658 |
Number Of Beneficiaries Age 75 to 84 |
392 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
1172 |
Number Of Male Beneficiaries |
127 |
Number Of Non Hispanic White Beneficiaries |
1172 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
27 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1082 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
217 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9585 |