National Provider Identifier [NPI]: |
1487739280 |
Last Name Of The Provider |
FERRUCCI |
First Name Of The Provider |
CYNTHIA |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2505 2ND AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
981211452 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
1360 |
Number Of Medicare Beneficiaries |
203 |
Total Submitted Charge Amount |
138255.43 |
Total Medicare Allowed Amount |
71824.34 |
Total Medicare Payment Amount |
52193.68 |
Total Medicare Standardized Payment Amount |
49302.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
115 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
5122.05 |
Total Drug Medicare AllowedAmount |
4084.81 |
Total Drug Medicare PaymentAmount |
3990.5 |
Total Drug Medicare Standardized Payment Amount |
3990.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
1245 |
Number Of Medicare Beneficiaries With Medical Services |
203 |
Total Medical Submitted Charge Amount |
133133.38 |
Total Medical Medicare Allowed Amount |
67739.53 |
Total Medical Medicare Payment Amount |
48203.18 |
Total Medical Medicare Standardized Payment Amount |
45312.35 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
100 |
Number Of Beneficiaries Age 75 to 84 |
43 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
134 |
Number Of Male Beneficiaries |
69 |
Number Of Non Hispanic White Beneficiaries |
166 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
160 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
30 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
21 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0746 |