National Provider Identifier [NPI]: |
1649279456 |
Last Name Of The Provider |
NASH |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1750 112TH AVE NE |
Street Address 2 Of The Provider |
SUITE D050 |
City Of The Provider |
BELLEVUE |
Zip Code Of The Provider |
980043752 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
8684 |
Number Of Medicare Beneficiaries |
874 |
Total Submitted Charge Amount |
4264507 |
Total Medicare Allowed Amount |
2176498.41 |
Total Medicare Payment Amount |
1677778.08 |
Total Medicare Standardized Payment Amount |
1652999.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3016 |
Number Of Medicare Beneficiaries With Drug Services |
179 |
Total Drug Submitted ChargeAmount |
2596216 |
Total Drug Medicare AllowedAmount |
1542609.68 |
Total Drug Medicare PaymentAmount |
1205600.07 |
Total Drug Medicare Standardized Payment Amount |
1205600.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
5668 |
Number Of Medicare Beneficiaries With Medical Services |
874 |
Total Medical Submitted Charge Amount |
1668291 |
Total Medical Medicare Allowed Amount |
633888.73 |
Total Medical Medicare Payment Amount |
472178.01 |
Total Medical Medicare Standardized Payment Amount |
447399.18 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
322 |
Number Of Beneficiaries Age 75 to 84 |
293 |
Number Of Beneficiaries Age Greater 84 |
203 |
Number Of Female Beneficiaries |
510 |
Number Of Male Beneficiaries |
364 |
Number Of Non Hispanic White Beneficiaries |
770 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
780 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
94 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2409 |