National Provider Identifier [NPI]: |
1891704409 |
Last Name Of The Provider |
DYKE |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3841 PIPER STREET |
Street Address 2 Of The Provider |
SUITE T100 |
City Of The Provider |
ANCHORAGE |
Zip Code Of The Provider |
99508 |
State Code Of The Provider |
AK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
9246 |
Number Of Medicare Beneficiaries |
1444 |
Total Submitted Charge Amount |
1543510.5 |
Total Medicare Allowed Amount |
293442.75 |
Total Medicare Payment Amount |
220207.65 |
Total Medicare Standardized Payment Amount |
183112.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
6404 |
Number Of Medicare Beneficiaries With Drug Services |
145 |
Total Drug Submitted ChargeAmount |
22791 |
Total Drug Medicare AllowedAmount |
15058.82 |
Total Drug Medicare PaymentAmount |
11477.46 |
Total Drug Medicare Standardized Payment Amount |
11477.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
2842 |
Number Of Medicare Beneficiaries With Medical Services |
1444 |
Total Medical Submitted Charge Amount |
1520719.5 |
Total Medical Medicare Allowed Amount |
278383.93 |
Total Medical Medicare Payment Amount |
208730.19 |
Total Medical Medicare Standardized Payment Amount |
171635.17 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
188 |
Number Of Beneficiaries Age 65 to 74 |
657 |
Number Of Beneficiaries Age 75 to 84 |
447 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
738 |
Number Of Male Beneficiaries |
706 |
Number Of Non Hispanic White Beneficiaries |
1111 |
Number Of Black or African American Beneficiaries |
68 |
Number Of AsianPacific Islander Beneficiaries |
112 |
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
71 |
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
1055 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
389 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5514 |