National Provider Identifier [NPI]: |
1578673372 |
Last Name Of The Provider |
GARTON |
First Name Of The Provider |
KYLE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2330 130TH AVE NE |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
BELLEVUE |
Zip Code Of The Provider |
980051756 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
6141 |
Number Of Medicare Beneficiaries |
2812 |
Total Submitted Charge Amount |
941239.96 |
Total Medicare Allowed Amount |
494943.52 |
Total Medicare Payment Amount |
376734.79 |
Total Medicare Standardized Payment Amount |
285686.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
6141 |
Number Of Medicare Beneficiaries With Medical Services |
2812 |
Total Medical Submitted Charge Amount |
941239.96 |
Total Medical Medicare Allowed Amount |
494943.52 |
Total Medical Medicare Payment Amount |
376734.79 |
Total Medical Medicare Standardized Payment Amount |
285686.1 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
1169 |
Number Of Beneficiaries Age 75 to 84 |
1019 |
Number Of Beneficiaries Age Greater 84 |
519 |
Number Of Female Beneficiaries |
1337 |
Number Of Male Beneficiaries |
1475 |
Number Of Non Hispanic White Beneficiaries |
2701 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
2682 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
130 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0146 |