National Provider Identifier [NPI]: |
1508999863 |
Last Name Of The Provider |
ZWEMER |
First Name Of The Provider |
JONAH |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 NE 87TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
VANCOUVER |
Zip Code Of The Provider |
986641913 |
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 |
151 |
Number Of Services |
25185 |
Number Of Medicare Beneficiaries |
1785 |
Total Submitted Charge Amount |
1037647.5 |
Total Medicare Allowed Amount |
331511.11 |
Total Medicare Payment Amount |
249396.04 |
Total Medicare Standardized Payment Amount |
251714.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
22522 |
Number Of Medicare Beneficiaries With Drug Services |
182 |
Total Drug Submitted ChargeAmount |
5529 |
Total Drug Medicare AllowedAmount |
4223.56 |
Total Drug Medicare PaymentAmount |
3248.14 |
Total Drug Medicare Standardized Payment Amount |
3248.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
149 |
Number Of Medical Services |
2663 |
Number Of Medicare Beneficiaries With Medical Services |
1785 |
Total Medical Submitted Charge Amount |
1032118.5 |
Total Medical Medicare Allowed Amount |
327287.55 |
Total Medical Medicare Payment Amount |
246147.9 |
Total Medical Medicare Standardized Payment Amount |
248466.28 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
325 |
Number Of Beneficiaries Age 65 to 74 |
718 |
Number Of Beneficiaries Age 75 to 84 |
472 |
Number Of Beneficiaries Age Greater 84 |
270 |
Number Of Female Beneficiaries |
1112 |
Number Of Male Beneficiaries |
673 |
Number Of Non Hispanic White Beneficiaries |
1609 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
53 |
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
40 |
Number Of Beneficiaries With Medicare Only Entitlement |
1374 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
411 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3277 |