National Provider Identifier [NPI]: |
1871542928 |
Last Name Of The Provider |
SOHN |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 12TH AVE S |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
981442712 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
12079 |
Number Of Medicare Beneficiaries |
2079 |
Total Submitted Charge Amount |
1231602.9 |
Total Medicare Allowed Amount |
286917.77 |
Total Medicare Payment Amount |
217332.8 |
Total Medicare Standardized Payment Amount |
211396.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
8713 |
Number Of Medicare Beneficiaries With Drug Services |
242 |
Total Drug Submitted ChargeAmount |
14593.9 |
Total Drug Medicare AllowedAmount |
4843.73 |
Total Drug Medicare PaymentAmount |
3787.06 |
Total Drug Medicare Standardized Payment Amount |
3787.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
3366 |
Number Of Medicare Beneficiaries With Medical Services |
2077 |
Total Medical Submitted Charge Amount |
1217009 |
Total Medical Medicare Allowed Amount |
282074.04 |
Total Medical Medicare Payment Amount |
213545.74 |
Total Medical Medicare Standardized Payment Amount |
207609.74 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
317 |
Number Of Beneficiaries Age 65 to 74 |
811 |
Number Of Beneficiaries Age 75 to 84 |
632 |
Number Of Beneficiaries Age Greater 84 |
319 |
Number Of Female Beneficiaries |
1224 |
Number Of Male Beneficiaries |
855 |
Number Of Non Hispanic White Beneficiaries |
1901 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
39 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1651 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
428 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.2713 |