National Provider Identifier [NPI]: |
1891804530 |
Last Name Of The Provider |
MAYADEV |
First Name Of The Provider |
ANGELI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
550 17TH AVE |
Street Address 2 Of The Provider |
SWEDISH NEUROSCIENCE SPECIALISTS |
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
98122 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
17018 |
Number Of Medicare Beneficiaries |
167 |
Total Submitted Charge Amount |
360700 |
Total Medicare Allowed Amount |
152592.08 |
Total Medicare Payment Amount |
106381.39 |
Total Medicare Standardized Payment Amount |
107384.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
16455 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
232195 |
Total Drug Medicare AllowedAmount |
93686.78 |
Total Drug Medicare PaymentAmount |
65201.26 |
Total Drug Medicare Standardized Payment Amount |
65201.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
563 |
Number Of Medicare Beneficiaries With Medical Services |
167 |
Total Medical Submitted Charge Amount |
128505 |
Total Medical Medicare Allowed Amount |
58905.3 |
Total Medical Medicare Payment Amount |
41180.13 |
Total Medical Medicare Standardized Payment Amount |
42183.73 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
59 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
116 |
Number Of Male Beneficiaries |
51 |
Number Of Non Hispanic White Beneficiaries |
137 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
118 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
39 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
41 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.5035 |