National Provider Identifier [NPI]: |
1922285345 |
Last Name Of The Provider |
FERRARA |
First Name Of The Provider |
DARDO |
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 |
12800 BOTHL EVRT HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
EVERETT |
Zip Code Of The Provider |
982086642 |
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 |
84 |
Number Of Services |
2166 |
Number Of Medicare Beneficiaries |
983 |
Total Submitted Charge Amount |
506636.89 |
Total Medicare Allowed Amount |
181319.26 |
Total Medicare Payment Amount |
137880.46 |
Total Medicare Standardized Payment Amount |
142034.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
2166 |
Number Of Medicare Beneficiaries With Medical Services |
983 |
Total Medical Submitted Charge Amount |
506636.89 |
Total Medical Medicare Allowed Amount |
181319.26 |
Total Medical Medicare Payment Amount |
137880.46 |
Total Medical Medicare Standardized Payment Amount |
142034.27 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
331 |
Number Of Beneficiaries Age 75 to 84 |
372 |
Number Of Beneficiaries Age Greater 84 |
214 |
Number Of Female Beneficiaries |
438 |
Number Of Male Beneficiaries |
545 |
Number Of Non Hispanic White Beneficiaries |
899 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
27 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
844 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
47 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5174 |