National Provider Identifier [NPI]: |
1811072630 |
Last Name Of The Provider |
PEARLMAN |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
UNIVERSITY OF WASHINGTON MEDICAL CTR |
Street Address 2 Of The Provider |
1959 NE PACIFIC ST |
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
981956043 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
1525 |
Number Of Medicare Beneficiaries |
1040 |
Total Submitted Charge Amount |
115896.4 |
Total Medicare Allowed Amount |
42598.58 |
Total Medicare Payment Amount |
31478.64 |
Total Medicare Standardized Payment Amount |
30391.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1525 |
Number Of Medicare Beneficiaries With Medical Services |
1040 |
Total Medical Submitted Charge Amount |
115896.4 |
Total Medical Medicare Allowed Amount |
42598.58 |
Total Medical Medicare Payment Amount |
31478.64 |
Total Medical Medicare Standardized Payment Amount |
30391.29 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
310 |
Number Of Beneficiaries Age 65 to 74 |
360 |
Number Of Beneficiaries Age 75 to 84 |
246 |
Number Of Beneficiaries Age Greater 84 |
124 |
Number Of Female Beneficiaries |
488 |
Number Of Male Beneficiaries |
552 |
Number Of Non Hispanic White Beneficiaries |
838 |
Number Of Black or African American Beneficiaries |
65 |
Number Of AsianPacific Islander Beneficiaries |
57 |
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
24 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
713 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
327 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.307 |