National Provider Identifier [NPI]: |
1699744094 |
Last Name Of The Provider |
KIRBY |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 BROADWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
981225330 |
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 |
34 |
Number Of Services |
2411 |
Number Of Medicare Beneficiaries |
545 |
Total Submitted Charge Amount |
869040 |
Total Medicare Allowed Amount |
316425.95 |
Total Medicare Payment Amount |
240042.86 |
Total Medicare Standardized Payment Amount |
230363.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
810 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
10530 |
Total Drug Medicare AllowedAmount |
1443.7 |
Total Drug Medicare PaymentAmount |
1098.4 |
Total Drug Medicare Standardized Payment Amount |
1098.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1601 |
Number Of Medicare Beneficiaries With Medical Services |
545 |
Total Medical Submitted Charge Amount |
858510 |
Total Medical Medicare Allowed Amount |
314982.25 |
Total Medical Medicare Payment Amount |
238944.46 |
Total Medical Medicare Standardized Payment Amount |
229264.61 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
298 |
Number Of Beneficiaries Age 75 to 84 |
181 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
274 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
513 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
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 |
10 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
3 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8339 |