National Provider Identifier [NPI]: |
1720098973 |
Last Name Of The Provider |
KRICK |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1901 SO CEDAR |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
TACOMA |
Zip Code Of The Provider |
98405 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
6273.5 |
Number Of Medicare Beneficiaries |
910 |
Total Submitted Charge Amount |
360761.02 |
Total Medicare Allowed Amount |
358975.73 |
Total Medicare Payment Amount |
249957.77 |
Total Medicare Standardized Payment Amount |
251495.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2746.5 |
Number Of Medicare Beneficiaries With Drug Services |
211 |
Total Drug Submitted ChargeAmount |
9493.44 |
Total Drug Medicare AllowedAmount |
8809.91 |
Total Drug Medicare PaymentAmount |
6726.52 |
Total Drug Medicare Standardized Payment Amount |
6726.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
3527 |
Number Of Medicare Beneficiaries With Medical Services |
910 |
Total Medical Submitted Charge Amount |
351267.58 |
Total Medical Medicare Allowed Amount |
350165.82 |
Total Medical Medicare Payment Amount |
243231.25 |
Total Medical Medicare Standardized Payment Amount |
244769.4 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
361 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
667 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
794 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
820 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
90 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
32 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.3345 |