National Provider Identifier [NPI]: |
1710916184 |
Last Name Of The Provider |
CROMAR |
First Name Of The Provider |
BRADLEY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
820 N CHELAN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WENATCHEE |
Zip Code Of The Provider |
988012028 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
8826 |
Number Of Medicare Beneficiaries |
286 |
Total Submitted Charge Amount |
338446.66 |
Total Medicare Allowed Amount |
145648.44 |
Total Medicare Payment Amount |
107408.03 |
Total Medicare Standardized Payment Amount |
106792.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
37 |
Number Of Drug Services |
3288 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
160026.34 |
Total Drug Medicare AllowedAmount |
67779.49 |
Total Drug Medicare PaymentAmount |
50960.36 |
Total Drug Medicare Standardized Payment Amount |
50960.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
5538 |
Number Of Medicare Beneficiaries With Medical Services |
286 |
Total Medical Submitted Charge Amount |
178420.32 |
Total Medical Medicare Allowed Amount |
77868.95 |
Total Medical Medicare Payment Amount |
56447.67 |
Total Medical Medicare Standardized Payment Amount |
55832.42 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
153 |
Number Of Beneficiaries Age 75 to 84 |
66 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
177 |
Number Of Male Beneficiaries |
109 |
Number Of Non Hispanic White Beneficiaries |
254 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
233 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
15 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9552 |