National Provider Identifier [NPI]: |
1952327850 |
Last Name Of The Provider |
TUTTLE |
First Name Of The Provider |
ANNE |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
222 112TH AVE NE |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
BELLEVUE |
Zip Code Of The Provider |
980045856 |
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 |
48 |
Number Of Services |
2326 |
Number Of Medicare Beneficiaries |
460 |
Total Submitted Charge Amount |
295803.73 |
Total Medicare Allowed Amount |
101921.42 |
Total Medicare Payment Amount |
76257.78 |
Total Medicare Standardized Payment Amount |
71503.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
335 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
7367.73 |
Total Drug Medicare AllowedAmount |
4097.67 |
Total Drug Medicare PaymentAmount |
3872.72 |
Total Drug Medicare Standardized Payment Amount |
3872.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1991 |
Number Of Medicare Beneficiaries With Medical Services |
441 |
Total Medical Submitted Charge Amount |
288436 |
Total Medical Medicare Allowed Amount |
97823.75 |
Total Medical Medicare Payment Amount |
72385.06 |
Total Medical Medicare Standardized Payment Amount |
67630.91 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
143 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
364 |
Number Of Male Beneficiaries |
96 |
Number Of Non Hispanic White Beneficiaries |
404 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
34 |
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 |
434 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
3 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
38 |
Percent Of With Ischemic Heart Disease |
15 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9207 |