National Provider Identifier [NPI]: |
1447243381 |
Last Name Of The Provider |
MERKLEY |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
945 GOETHALS DR |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
RICHLAND |
Zip Code Of The Provider |
993523552 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
2954 |
Number Of Medicare Beneficiaries |
559 |
Total Submitted Charge Amount |
189585.89 |
Total Medicare Allowed Amount |
186583.84 |
Total Medicare Payment Amount |
134825.53 |
Total Medicare Standardized Payment Amount |
135723.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
624 |
Number Of Medicare Beneficiaries With Drug Services |
309 |
Total Drug Submitted ChargeAmount |
19283.65 |
Total Drug Medicare AllowedAmount |
18331.28 |
Total Drug Medicare PaymentAmount |
17385.75 |
Total Drug Medicare Standardized Payment Amount |
17385.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
2330 |
Number Of Medicare Beneficiaries With Medical Services |
559 |
Total Medical Submitted Charge Amount |
170302.24 |
Total Medical Medicare Allowed Amount |
168252.56 |
Total Medical Medicare Payment Amount |
117439.78 |
Total Medical Medicare Standardized Payment Amount |
118337.31 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
271 |
Number Of Beneficiaries Age 75 to 84 |
200 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
271 |
Number Of Male Beneficiaries |
288 |
Number Of Non Hispanic White Beneficiaries |
521 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
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 |
546 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8786 |