National Provider Identifier [NPI]: |
1912926619 |
Last Name Of The Provider |
TRIGG |
First Name Of The Provider |
DOUGLAS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
222 112TH AVE NE |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
BELLEVUE |
Zip Code Of The Provider |
980045856 |
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 |
51 |
Number Of Services |
2282 |
Number Of Medicare Beneficiaries |
492 |
Total Submitted Charge Amount |
306261.14 |
Total Medicare Allowed Amount |
106755.79 |
Total Medicare Payment Amount |
76012.58 |
Total Medicare Standardized Payment Amount |
71000.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
412 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
6591.14 |
Total Drug Medicare AllowedAmount |
2940.47 |
Total Drug Medicare PaymentAmount |
2560.97 |
Total Drug Medicare Standardized Payment Amount |
2560.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1870 |
Number Of Medicare Beneficiaries With Medical Services |
491 |
Total Medical Submitted Charge Amount |
299670 |
Total Medical Medicare Allowed Amount |
103815.32 |
Total Medical Medicare Payment Amount |
73451.61 |
Total Medical Medicare Standardized Payment Amount |
68439.45 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
189 |
Number Of Beneficiaries Age 75 to 84 |
168 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
210 |
Number Of Male Beneficiaries |
282 |
Number Of Non Hispanic White Beneficiaries |
441 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
458 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
41 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
2 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
21 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.016 |