National Provider Identifier [NPI]: |
1255407888 |
Last Name Of The Provider |
BHASKAR |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11800 NE 128TH ST |
Street Address 2 Of The Provider |
SUITE 560 |
City Of The Provider |
KIRKLAND |
Zip Code Of The Provider |
980347208 |
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 |
31 |
Number Of Services |
449 |
Number Of Medicare Beneficiaries |
121 |
Total Submitted Charge Amount |
41111 |
Total Medicare Allowed Amount |
29979.98 |
Total Medicare Payment Amount |
20981.22 |
Total Medicare Standardized Payment Amount |
20825.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
49 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
1707 |
Total Drug Medicare AllowedAmount |
1606.37 |
Total Drug Medicare PaymentAmount |
1478.66 |
Total Drug Medicare Standardized Payment Amount |
1478.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
400 |
Number Of Medicare Beneficiaries With Medical Services |
121 |
Total Medical Submitted Charge Amount |
39404 |
Total Medical Medicare Allowed Amount |
28373.61 |
Total Medical Medicare Payment Amount |
19502.56 |
Total Medical Medicare Standardized Payment Amount |
19346.52 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
62 |
Number Of Beneficiaries Age 75 to 84 |
37 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
65 |
Number Of Male Beneficiaries |
56 |
Number Of Non Hispanic White Beneficiaries |
101 |
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 |
102 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
18 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8297 |