National Provider Identifier [NPI]: |
1275515702 |
Last Name Of The Provider |
STUHRING |
First Name Of The Provider |
GLEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14048 JUANITA DR NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
KIRKLAND |
Zip Code Of The Provider |
980349712 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
861 |
Number Of Medicare Beneficiaries |
242 |
Total Submitted Charge Amount |
101379 |
Total Medicare Allowed Amount |
56135.96 |
Total Medicare Payment Amount |
39325.72 |
Total Medicare Standardized Payment Amount |
37224.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
1253 |
Total Drug Medicare AllowedAmount |
688.83 |
Total Drug Medicare PaymentAmount |
597.27 |
Total Drug Medicare Standardized Payment Amount |
597.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
834 |
Number Of Medicare Beneficiaries With Medical Services |
242 |
Total Medical Submitted Charge Amount |
100126 |
Total Medical Medicare Allowed Amount |
55447.13 |
Total Medical Medicare Payment Amount |
38728.45 |
Total Medical Medicare Standardized Payment Amount |
36627.07 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
124 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
104 |
Number Of Male Beneficiaries |
138 |
Number Of Non Hispanic White Beneficiaries |
230 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
222 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9368 |