National Provider Identifier [NPI]: |
1366537722 |
Last Name Of The Provider |
HOBBS |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1005 GEORGIANA STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORT ANGELES |
Zip Code Of The Provider |
983623917 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
1782 |
Number Of Medicare Beneficiaries |
546 |
Total Submitted Charge Amount |
302828.14 |
Total Medicare Allowed Amount |
157786.96 |
Total Medicare Payment Amount |
119602.92 |
Total Medicare Standardized Payment Amount |
121108.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
46 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
1090.2 |
Total Drug Medicare AllowedAmount |
924.14 |
Total Drug Medicare PaymentAmount |
903.36 |
Total Drug Medicare Standardized Payment Amount |
903.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
1736 |
Number Of Medicare Beneficiaries With Medical Services |
546 |
Total Medical Submitted Charge Amount |
301737.94 |
Total Medical Medicare Allowed Amount |
156862.82 |
Total Medical Medicare Payment Amount |
118699.56 |
Total Medical Medicare Standardized Payment Amount |
120205.14 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
135 |
Number Of Beneficiaries Age 75 to 84 |
185 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
296 |
Number Of Male Beneficiaries |
250 |
Number Of Non Hispanic White Beneficiaries |
514 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5884 |