National Provider Identifier [NPI]: |
1386669562 |
Last Name Of The Provider |
DRUCKER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1530 N 115TH ST |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
981338421 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
8634 |
Number Of Medicare Beneficiaries |
611 |
Total Submitted Charge Amount |
1997525 |
Total Medicare Allowed Amount |
1192130.38 |
Total Medicare Payment Amount |
909178.74 |
Total Medicare Standardized Payment Amount |
888482.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1096 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
1082040 |
Total Drug Medicare AllowedAmount |
655892.29 |
Total Drug Medicare PaymentAmount |
511507.07 |
Total Drug Medicare Standardized Payment Amount |
511507.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
7538 |
Number Of Medicare Beneficiaries With Medical Services |
611 |
Total Medical Submitted Charge Amount |
915485 |
Total Medical Medicare Allowed Amount |
536238.09 |
Total Medical Medicare Payment Amount |
397671.67 |
Total Medical Medicare Standardized Payment Amount |
376975.31 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
216 |
Number Of Beneficiaries Age 75 to 84 |
215 |
Number Of Beneficiaries Age Greater 84 |
163 |
Number Of Female Beneficiaries |
348 |
Number Of Male Beneficiaries |
263 |
Number Of Non Hispanic White Beneficiaries |
561 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
569 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2207 |