Medicare Facts for Dr. John L. Baldwin, MD


National Provider Identifier [NPI]: 1881697993
Last Name Of The Provider BALDWIN
First Name Of The Provider JOHN
Middle Initial Of The Provider L
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1310 116TH AVE NE
Street Address 2 Of The Provider STE C
City Of The Provider BELLEVUE
Zip Code Of The Provider 980043817
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 27
Number Of Services 21203
Number Of Medicare Beneficiaries 273
Total Submitted Charge Amount 728671.16
Total Medicare Allowed Amount 464061.84
Total Medicare Payment Amount 353176.37
Total Medicare Standardized Payment Amount 349796.2
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 20313
Number Of Medicare Beneficiaries With Drug Services 91
Total Drug Submitted ChargeAmount 575365.93
Total Drug Medicare AllowedAmount 376501.3
Total Drug Medicare PaymentAmount 293196.07
Total Drug Medicare Standardized Payment Amount 293196.07
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 16
Number Of Medical Services 890
Number Of Medicare Beneficiaries With Medical Services 273
Total Medical Submitted Charge Amount 153305.23
Total Medical Medicare Allowed Amount 87560.54
Total Medical Medicare Payment Amount 59980.3
Total Medical Medicare Standardized Payment Amount 56600.13
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 12
Number Of Beneficiaries Age 65 to 74 103
Number Of Beneficiaries Age 75 to 84 116
Number Of Beneficiaries Age Greater 84 42
Number Of Female Beneficiaries 174
Number Of Male Beneficiaries 99
Number Of Non Hispanic White Beneficiaries 250
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 5
Percent Of With Cancer 11
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 17
Percent Of With Diabetes 16
Percent Of With Hyperlipidemia 46
Percent Of With Hypertension 55
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis 22
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1596

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