National Provider Identifier [NPI]: |
1497846612 |
Last Name Of The Provider |
NADEAU |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
PAC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20 E. J. STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
DEER PARK |
Zip Code Of The Provider |
99006 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
141 |
Number Of Services |
3800 |
Number Of Medicare Beneficiaries |
327 |
Total Submitted Charge Amount |
305932.91 |
Total Medicare Allowed Amount |
108624.45 |
Total Medicare Payment Amount |
78827.53 |
Total Medicare Standardized Payment Amount |
92143.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
765 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
2301.95 |
Total Drug Medicare AllowedAmount |
984.62 |
Total Drug Medicare PaymentAmount |
916.4 |
Total Drug Medicare Standardized Payment Amount |
916.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
131 |
Number Of Medical Services |
3035 |
Number Of Medicare Beneficiaries With Medical Services |
327 |
Total Medical Submitted Charge Amount |
303630.96 |
Total Medical Medicare Allowed Amount |
107639.83 |
Total Medical Medicare Payment Amount |
77911.13 |
Total Medical Medicare Standardized Payment Amount |
91227.15 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
158 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
166 |
Number Of Male Beneficiaries |
161 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
268 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0977 |