National Provider Identifier [NPI]: |
1649249558 |
Last Name Of The Provider |
SHEETS |
First Name Of The Provider |
PAMELA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
904 7TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
981041132 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
24844 |
Number Of Medicare Beneficiaries |
220 |
Total Submitted Charge Amount |
661396.91 |
Total Medicare Allowed Amount |
387431.82 |
Total Medicare Payment Amount |
301159.47 |
Total Medicare Standardized Payment Amount |
296879.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
21004 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
391108.91 |
Total Drug Medicare AllowedAmount |
286198.97 |
Total Drug Medicare PaymentAmount |
224132.08 |
Total Drug Medicare Standardized Payment Amount |
224132.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
3840 |
Number Of Medicare Beneficiaries With Medical Services |
220 |
Total Medical Submitted Charge Amount |
270288 |
Total Medical Medicare Allowed Amount |
101232.85 |
Total Medical Medicare Payment Amount |
77027.39 |
Total Medical Medicare Standardized Payment Amount |
72746.96 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
106 |
Number Of Beneficiaries Age 75 to 84 |
83 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
171 |
Number Of Male Beneficiaries |
49 |
Number Of Non Hispanic White Beneficiaries |
204 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2782 |