National Provider Identifier [NPI]: |
1528132206 |
Last Name Of The Provider |
MCELVAIN |
First Name Of The Provider |
RACHEL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
PAC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20730 BOND RD NE STE 205 |
Street Address 2 Of The Provider |
|
City Of The Provider |
POULSBO |
Zip Code Of The Provider |
983709000 |
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 |
43 |
Number Of Services |
482 |
Number Of Medicare Beneficiaries |
94 |
Total Submitted Charge Amount |
36731 |
Total Medicare Allowed Amount |
17925.05 |
Total Medicare Payment Amount |
11633.18 |
Total Medicare Standardized Payment Amount |
14036.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
410 |
Total Drug Medicare AllowedAmount |
360.68 |
Total Drug Medicare PaymentAmount |
349.14 |
Total Drug Medicare Standardized Payment Amount |
349.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
470 |
Number Of Medicare Beneficiaries With Medical Services |
94 |
Total Medical Submitted Charge Amount |
36321 |
Total Medical Medicare Allowed Amount |
17564.37 |
Total Medical Medicare Payment Amount |
11284.04 |
Total Medical Medicare Standardized Payment Amount |
13687.59 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
47 |
Number Of Beneficiaries Age 75 to 84 |
20 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
75 |
Number Of Male Beneficiaries |
19 |
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 |
73 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
15 |
Percent Of With Diabetes |
13 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
43 |
Percent Of With Ischemic Heart Disease |
14 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
18 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7139 |