National Provider Identifier [NPI]: |
1063471001 |
Last Name Of The Provider |
DELANEY |
First Name Of The Provider |
JOSEPH |
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 |
1550 N 115TH |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
98133 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
139 |
Number Of Services |
4785 |
Number Of Medicare Beneficiaries |
2335 |
Total Submitted Charge Amount |
355828.32 |
Total Medicare Allowed Amount |
126902.69 |
Total Medicare Payment Amount |
91873.05 |
Total Medicare Standardized Payment Amount |
89945.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
618 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
156.32 |
Total Drug Medicare AllowedAmount |
122.88 |
Total Drug Medicare PaymentAmount |
96.32 |
Total Drug Medicare Standardized Payment Amount |
96.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
135 |
Number Of Medical Services |
4167 |
Number Of Medicare Beneficiaries With Medical Services |
2335 |
Total Medical Submitted Charge Amount |
355672 |
Total Medical Medicare Allowed Amount |
126779.81 |
Total Medical Medicare Payment Amount |
91776.73 |
Total Medical Medicare Standardized Payment Amount |
89849.45 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
294 |
Number Of Beneficiaries Age 65 to 74 |
712 |
Number Of Beneficiaries Age 75 to 84 |
683 |
Number Of Beneficiaries Age Greater 84 |
646 |
Number Of Female Beneficiaries |
1409 |
Number Of Male Beneficiaries |
926 |
Number Of Non Hispanic White Beneficiaries |
2004 |
Number Of Black or African American Beneficiaries |
63 |
Number Of AsianPacific Islander Beneficiaries |
158 |
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
15 |
Number Of Beneficiaries With Race Not Else where Classified |
47 |
Number Of Beneficiaries With Medicare Only Entitlement |
1772 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
563 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6172 |