National Provider Identifier [NPI]: |
1699930792 |
Last Name Of The Provider |
SALTZMAN |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4245 ROOSEVELT WAY NE |
Street Address 2 Of The Provider |
SUITE E110 |
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
981056008 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
2028 |
Number Of Medicare Beneficiaries |
593 |
Total Submitted Charge Amount |
1318385.8 |
Total Medicare Allowed Amount |
264196.97 |
Total Medicare Payment Amount |
198935.36 |
Total Medicare Standardized Payment Amount |
181605.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
352 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
2112 |
Total Drug Medicare AllowedAmount |
626.15 |
Total Drug Medicare PaymentAmount |
455.64 |
Total Drug Medicare Standardized Payment Amount |
455.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1676 |
Number Of Medicare Beneficiaries With Medical Services |
593 |
Total Medical Submitted Charge Amount |
1316273.8 |
Total Medical Medicare Allowed Amount |
263570.82 |
Total Medical Medicare Payment Amount |
198479.72 |
Total Medical Medicare Standardized Payment Amount |
181150.06 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
275 |
Number Of Beneficiaries Age 75 to 84 |
165 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
350 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
434 |
Number Of Black or African American Beneficiaries |
93 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
494 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1586 |