National Provider Identifier [NPI]: |
1659389773 |
Last Name Of The Provider |
DOERING |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1215 N MCDONALD RD |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
SPOKANE VALLEY |
Zip Code Of The Provider |
992161048 |
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 |
110 |
Number Of Services |
10828 |
Number Of Medicare Beneficiaries |
839 |
Total Submitted Charge Amount |
472601.76 |
Total Medicare Allowed Amount |
438791.84 |
Total Medicare Payment Amount |
339275.34 |
Total Medicare Standardized Payment Amount |
342119.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
343 |
Number Of Medicare Beneficiaries With Drug Services |
163 |
Total Drug Submitted ChargeAmount |
3579 |
Total Drug Medicare AllowedAmount |
2890.73 |
Total Drug Medicare PaymentAmount |
2671.14 |
Total Drug Medicare Standardized Payment Amount |
2671.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
10485 |
Number Of Medicare Beneficiaries With Medical Services |
839 |
Total Medical Submitted Charge Amount |
469022.76 |
Total Medical Medicare Allowed Amount |
435901.11 |
Total Medical Medicare Payment Amount |
336604.2 |
Total Medical Medicare Standardized Payment Amount |
339448.84 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
298 |
Number Of Beneficiaries Age 75 to 84 |
347 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
465 |
Number Of Male Beneficiaries |
374 |
Number Of Non Hispanic White Beneficiaries |
808 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
789 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1285 |