National Provider Identifier [NPI]: |
1205848611 |
Last Name Of The Provider |
BAJWA |
First Name Of The Provider |
ZAFAR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1959 NE PACIFIC ST |
Street Address 2 Of The Provider |
C212, BOX 356340 |
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
981956340 |
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 |
88 |
Number Of Services |
3996 |
Number Of Medicare Beneficiaries |
1878 |
Total Submitted Charge Amount |
1207234.78 |
Total Medicare Allowed Amount |
214890.07 |
Total Medicare Payment Amount |
163556.38 |
Total Medicare Standardized Payment Amount |
174627.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1173 |
Number Of Medicare Beneficiaries With Drug Services |
145 |
Total Drug Submitted ChargeAmount |
11730 |
Total Drug Medicare AllowedAmount |
614.4 |
Total Drug Medicare PaymentAmount |
450.68 |
Total Drug Medicare Standardized Payment Amount |
450.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
2823 |
Number Of Medicare Beneficiaries With Medical Services |
1878 |
Total Medical Submitted Charge Amount |
1195504.78 |
Total Medical Medicare Allowed Amount |
214275.67 |
Total Medical Medicare Payment Amount |
163105.7 |
Total Medical Medicare Standardized Payment Amount |
174176.45 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
463 |
Number Of Beneficiaries Age 65 to 74 |
581 |
Number Of Beneficiaries Age 75 to 84 |
507 |
Number Of Beneficiaries Age Greater 84 |
327 |
Number Of Female Beneficiaries |
1082 |
Number Of Male Beneficiaries |
796 |
Number Of Non Hispanic White Beneficiaries |
1764 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1270 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
608 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.4832 |