National Provider Identifier [NPI]: |
1922076546 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
KIRK |
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 |
777 COMMERCIAL ST SE |
Street Address 2 Of The Provider |
SUITE 130 |
City Of The Provider |
SALEM |
Zip Code Of The Provider |
973013421 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
4731 |
Number Of Medicare Beneficiaries |
1213 |
Total Submitted Charge Amount |
901142.8 |
Total Medicare Allowed Amount |
297215.36 |
Total Medicare Payment Amount |
220045.85 |
Total Medicare Standardized Payment Amount |
232330.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1718 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
14248 |
Total Drug Medicare AllowedAmount |
5369.21 |
Total Drug Medicare PaymentAmount |
4209.47 |
Total Drug Medicare Standardized Payment Amount |
4209.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
3013 |
Number Of Medicare Beneficiaries With Medical Services |
1213 |
Total Medical Submitted Charge Amount |
886894.8 |
Total Medical Medicare Allowed Amount |
291846.15 |
Total Medical Medicare Payment Amount |
215836.38 |
Total Medical Medicare Standardized Payment Amount |
228120.68 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
182 |
Number Of Beneficiaries Age 65 to 74 |
440 |
Number Of Beneficiaries Age 75 to 84 |
369 |
Number Of Beneficiaries Age Greater 84 |
222 |
Number Of Female Beneficiaries |
606 |
Number Of Male Beneficiaries |
607 |
Number Of Non Hispanic White Beneficiaries |
1077 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
95 |
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
901 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
312 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6491 |