National Provider Identifier [NPI]: |
1831262823 |
Last Name Of The Provider |
LARHS |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1229 MADISON STREET |
Street Address 2 Of The Provider |
SUITE 900 |
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
98104 |
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 |
103 |
Number Of Services |
47907 |
Number Of Medicare Beneficiaries |
528 |
Total Submitted Charge Amount |
1058297.88 |
Total Medicare Allowed Amount |
308121.34 |
Total Medicare Payment Amount |
237779.38 |
Total Medicare Standardized Payment Amount |
232646.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
46733 |
Number Of Medicare Beneficiaries With Drug Services |
397 |
Total Drug Submitted ChargeAmount |
142035 |
Total Drug Medicare AllowedAmount |
17996.34 |
Total Drug Medicare PaymentAmount |
14072.01 |
Total Drug Medicare Standardized Payment Amount |
14072.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
1174 |
Number Of Medicare Beneficiaries With Medical Services |
528 |
Total Medical Submitted Charge Amount |
916262.88 |
Total Medical Medicare Allowed Amount |
290125 |
Total Medical Medicare Payment Amount |
223707.37 |
Total Medical Medicare Standardized Payment Amount |
218574.48 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
140 |
Number Of Beneficiaries Age 65 to 74 |
239 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
312 |
Number Of Male Beneficiaries |
216 |
Number Of Non Hispanic White Beneficiaries |
478 |
Number Of Black or African American Beneficiaries |
18 |
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
366 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
162 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0858 |