National Provider Identifier [NPI]: |
1346209277 |
Last Name Of The Provider |
DEE |
First Name Of The Provider |
KATHERINE |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1560 N 115TH |
Street Address 2 Of The Provider |
SEATTLE BREAST CENTER |
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
98133 |
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 |
26 |
Number Of Services |
4084 |
Number Of Medicare Beneficiaries |
1584 |
Total Submitted Charge Amount |
220402.4 |
Total Medicare Allowed Amount |
86804.7 |
Total Medicare Payment Amount |
77879.19 |
Total Medicare Standardized Payment Amount |
74671.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
750 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
677.4 |
Total Drug Medicare AllowedAmount |
523.84 |
Total Drug Medicare PaymentAmount |
410.7 |
Total Drug Medicare Standardized Payment Amount |
410.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
3334 |
Number Of Medicare Beneficiaries With Medical Services |
1584 |
Total Medical Submitted Charge Amount |
219725 |
Total Medical Medicare Allowed Amount |
86280.86 |
Total Medical Medicare Payment Amount |
77468.49 |
Total Medical Medicare Standardized Payment Amount |
74260.36 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
834 |
Number Of Beneficiaries Age 75 to 84 |
578 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
Number Of Non Hispanic White Beneficiaries |
1425 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
86 |
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1465 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
119 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
13 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.7462 |