National Provider Identifier [NPI]: |
1417942269 |
Last Name Of The Provider |
BELL |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
19020 33RD AVE W |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
LYNNWOOD |
Zip Code Of The Provider |
980364746 |
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 |
154 |
Number Of Services |
5680 |
Number Of Medicare Beneficiaries |
2945 |
Total Submitted Charge Amount |
780354.25 |
Total Medicare Allowed Amount |
270481.29 |
Total Medicare Payment Amount |
207697.64 |
Total Medicare Standardized Payment Amount |
211528.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
867 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
420.75 |
Total Drug Medicare AllowedAmount |
197.04 |
Total Drug Medicare PaymentAmount |
154.46 |
Total Drug Medicare Standardized Payment Amount |
154.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
152 |
Number Of Medical Services |
4813 |
Number Of Medicare Beneficiaries With Medical Services |
2945 |
Total Medical Submitted Charge Amount |
779933.5 |
Total Medical Medicare Allowed Amount |
270284.25 |
Total Medical Medicare Payment Amount |
207543.18 |
Total Medical Medicare Standardized Payment Amount |
211373.6 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
701 |
Number Of Beneficiaries Age 65 to 74 |
933 |
Number Of Beneficiaries Age 75 to 84 |
802 |
Number Of Beneficiaries Age Greater 84 |
509 |
Number Of Female Beneficiaries |
1765 |
Number Of Male Beneficiaries |
1180 |
Number Of Non Hispanic White Beneficiaries |
2830 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
43 |
Number Of Beneficiaries With Medicare Only Entitlement |
1913 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1032 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5731 |