National Provider Identifier [NPI]: |
1679592364 |
Last Name Of The Provider |
ZIEMANN |
First Name Of The Provider |
JOY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
34616 11TH PL S |
Street Address 2 Of The Provider |
STE 4 |
City Of The Provider |
FEDERAL WAY |
Zip Code Of The Provider |
980038705 |
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 |
50 |
Number Of Services |
1073 |
Number Of Medicare Beneficiaries |
314 |
Total Submitted Charge Amount |
153059 |
Total Medicare Allowed Amount |
63481.83 |
Total Medicare Payment Amount |
40304.19 |
Total Medicare Standardized Payment Amount |
37479.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
100 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
4362 |
Total Drug Medicare AllowedAmount |
1549.27 |
Total Drug Medicare PaymentAmount |
1492.87 |
Total Drug Medicare Standardized Payment Amount |
1492.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
973 |
Number Of Medicare Beneficiaries With Medical Services |
314 |
Total Medical Submitted Charge Amount |
148697 |
Total Medical Medicare Allowed Amount |
61932.56 |
Total Medical Medicare Payment Amount |
38811.32 |
Total Medical Medicare Standardized Payment Amount |
35986.88 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
174 |
Number Of Beneficiaries Age 75 to 84 |
80 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
229 |
Number Of Male Beneficiaries |
85 |
Number Of Non Hispanic White Beneficiaries |
286 |
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 |
281 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9388 |