National Provider Identifier [NPI]: |
1841296209 |
Last Name Of The Provider |
PALMER |
First Name Of The Provider |
HAROLD |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1245 NW 4TH ST |
Street Address 2 Of The Provider |
STE 201 |
City Of The Provider |
REDMOND |
Zip Code Of The Provider |
977561680 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
5305 |
Number Of Medicare Beneficiaries |
770 |
Total Submitted Charge Amount |
496676.97 |
Total Medicare Allowed Amount |
231382.96 |
Total Medicare Payment Amount |
157214.92 |
Total Medicare Standardized Payment Amount |
164757.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
368 |
Number Of Medicare Beneficiaries With Drug Services |
263 |
Total Drug Submitted ChargeAmount |
9932.41 |
Total Drug Medicare AllowedAmount |
5384.84 |
Total Drug Medicare PaymentAmount |
5117.47 |
Total Drug Medicare Standardized Payment Amount |
5117.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
4937 |
Number Of Medicare Beneficiaries With Medical Services |
770 |
Total Medical Submitted Charge Amount |
486744.56 |
Total Medical Medicare Allowed Amount |
225998.12 |
Total Medical Medicare Payment Amount |
152097.45 |
Total Medical Medicare Standardized Payment Amount |
159640.17 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
360 |
Number Of Beneficiaries Age 75 to 84 |
265 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
384 |
Number Of Male Beneficiaries |
386 |
Number Of Non Hispanic White Beneficiaries |
744 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
699 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1005 |