National Provider Identifier [NPI]: |
1003839028 |
Last Name Of The Provider |
DOUCETTE |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1135 116TH AVE NE |
Street Address 2 Of The Provider |
SUITE 600 |
City Of The Provider |
BELLEVUE |
Zip Code Of The Provider |
980044623 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
2806 |
Number Of Medicare Beneficiaries |
832 |
Total Submitted Charge Amount |
628678.92 |
Total Medicare Allowed Amount |
246536.75 |
Total Medicare Payment Amount |
180543.7 |
Total Medicare Standardized Payment Amount |
172602.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
2806 |
Number Of Medicare Beneficiaries With Medical Services |
832 |
Total Medical Submitted Charge Amount |
628678.92 |
Total Medical Medicare Allowed Amount |
246536.75 |
Total Medical Medicare Payment Amount |
180543.7 |
Total Medical Medicare Standardized Payment Amount |
172602.19 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
257 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
234 |
Number Of Female Beneficiaries |
419 |
Number Of Male Beneficiaries |
413 |
Number Of Non Hispanic White Beneficiaries |
763 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
49 |
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 |
765 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.3043 |