National Provider Identifier [NPI]: |
1669691424 |
Last Name Of The Provider |
ZINATI |
First Name Of The Provider |
GHOLAMREZA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1229 MADISON ST |
Street Address 2 Of The Provider |
STE 900 |
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
981043586 |
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 |
127 |
Number Of Services |
7537 |
Number Of Medicare Beneficiaries |
2556 |
Total Submitted Charge Amount |
628136 |
Total Medicare Allowed Amount |
193687.45 |
Total Medicare Payment Amount |
158885.06 |
Total Medicare Standardized Payment Amount |
158613.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3559 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
7184 |
Total Drug Medicare AllowedAmount |
937.96 |
Total Drug Medicare PaymentAmount |
735.41 |
Total Drug Medicare Standardized Payment Amount |
735.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
123 |
Number Of Medical Services |
3978 |
Number Of Medicare Beneficiaries With Medical Services |
2556 |
Total Medical Submitted Charge Amount |
620952 |
Total Medical Medicare Allowed Amount |
192749.49 |
Total Medical Medicare Payment Amount |
158149.65 |
Total Medical Medicare Standardized Payment Amount |
157878.35 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
309 |
Number Of Beneficiaries Age 65 to 74 |
1104 |
Number Of Beneficiaries Age 75 to 84 |
788 |
Number Of Beneficiaries Age Greater 84 |
355 |
Number Of Female Beneficiaries |
1911 |
Number Of Male Beneficiaries |
645 |
Number Of Non Hispanic White Beneficiaries |
2305 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
67 |
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
18 |
Number Of Beneficiaries With Race Not Else where Classified |
50 |
Number Of Beneficiaries With Medicare Only Entitlement |
2182 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
374 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2793 |