| National Provider Identifier [NPI]: | 1942204417 |
| Last Name Of The Provider | ANGEID-BACKMAN |
| First Name Of The Provider | ELIN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 807 15TH ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | BELLINGHAM |
| Zip Code Of The Provider | 982256309 |
| State Code Of The Provider | WA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 99 |
| Number Of Services | 10494 |
| Number Of Medicare Beneficiaries | 3568 |
| Total Submitted Charge Amount | 668436.82 |
| Total Medicare Allowed Amount | 203108.35 |
| Total Medicare Payment Amount | 146646.82 |
| Total Medicare Standardized Payment Amount | 148170.78 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 6094 |
| Number Of Medicare Beneficiaries With Drug Services | 81 |
| Total Drug Submitted ChargeAmount | 4030.4 |
| Total Drug Medicare AllowedAmount | 1697.97 |
| Total Drug Medicare PaymentAmount | 1317.6 |
| Total Drug Medicare Standardized Payment Amount | 1317.6 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 96 |
| Number Of Medical Services | 4400 |
| Number Of Medicare Beneficiaries With Medical Services | 3568 |
| Total Medical Submitted Charge Amount | 664406.42 |
| Total Medical Medicare Allowed Amount | 201410.38 |
| Total Medical Medicare Payment Amount | 145329.22 |
| Total Medical Medicare Standardized Payment Amount | 146853.18 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 623 |
| Number Of Beneficiaries Age 65 to 74 | 1207 |
| Number Of Beneficiaries Age 75 to 84 | 1112 |
| Number Of Beneficiaries Age Greater 84 | 626 |
| Number Of Female Beneficiaries | 1941 |
| Number Of Male Beneficiaries | 1627 |
| Number Of Non Hispanic White Beneficiaries | 3268 |
| Number Of Black or African American Beneficiaries | 35 |
| Number Of AsianPacific Islander Beneficiaries | 49 |
| Number Of Hispanic Beneficiaries | 98 |
| Number Of American Indian Alaska Native Beneficiaries | 75 |
| Number Of Beneficiaries With Race Not Else where Classified | 43 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2666 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 902 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 51 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.7525 |