National Provider Identifier [NPI]: |
1417066440 |
Last Name Of The Provider |
CUMMINGS |
First Name Of The Provider |
FELICIA |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1100 9TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
981012756 |
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 |
141 |
Number Of Services |
7667 |
Number Of Medicare Beneficiaries |
1379 |
Total Submitted Charge Amount |
456249.98 |
Total Medicare Allowed Amount |
137846.96 |
Total Medicare Payment Amount |
101815.12 |
Total Medicare Standardized Payment Amount |
100269.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
5672 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
8864.98 |
Total Drug Medicare AllowedAmount |
1650.97 |
Total Drug Medicare PaymentAmount |
1200.56 |
Total Drug Medicare Standardized Payment Amount |
1200.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
136 |
Number Of Medical Services |
1995 |
Number Of Medicare Beneficiaries With Medical Services |
1379 |
Total Medical Submitted Charge Amount |
447385 |
Total Medical Medicare Allowed Amount |
136195.99 |
Total Medical Medicare Payment Amount |
100614.56 |
Total Medical Medicare Standardized Payment Amount |
99069.03 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
176 |
Number Of Beneficiaries Age 65 to 74 |
551 |
Number Of Beneficiaries Age 75 to 84 |
445 |
Number Of Beneficiaries Age Greater 84 |
207 |
Number Of Female Beneficiaries |
721 |
Number Of Male Beneficiaries |
658 |
Number Of Non Hispanic White Beneficiaries |
1170 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
89 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
1161 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
218 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5526 |