National Provider Identifier [NPI]: |
1588837439 |
Last Name Of The Provider |
IZHOKHINA |
First Name Of The Provider |
ALENA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13718 100TH AVE NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
KIRKLAND |
Zip Code Of The Provider |
980345216 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
173 |
Number Of Medicare Beneficiaries |
85 |
Total Submitted Charge Amount |
23994 |
Total Medicare Allowed Amount |
11124.89 |
Total Medicare Payment Amount |
7470.89 |
Total Medicare Standardized Payment Amount |
8324.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
22 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
189 |
Total Drug Medicare AllowedAmount |
48.36 |
Total Drug Medicare PaymentAmount |
37.9 |
Total Drug Medicare Standardized Payment Amount |
37.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
151 |
Number Of Medicare Beneficiaries With Medical Services |
85 |
Total Medical Submitted Charge Amount |
23805 |
Total Medical Medicare Allowed Amount |
11076.53 |
Total Medical Medicare Payment Amount |
7432.99 |
Total Medical Medicare Standardized Payment Amount |
8286.21 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
35 |
Number Of Beneficiaries Age 75 to 84 |
22 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
60 |
Number Of Male Beneficiaries |
25 |
Number Of Non Hispanic White Beneficiaries |
73 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
67 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9347 |