National Provider Identifier [NPI]: |
1518161017 |
Last Name Of The Provider |
SPINNING |
First Name Of The Provider |
KRISTOPHER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
19020 33RD AVE W |
Street Address 2 Of The Provider |
STE 210 |
City Of The Provider |
LYNNWOOD |
Zip Code Of The Provider |
980364746 |
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 |
5126 |
Number Of Medicare Beneficiaries |
3363 |
Total Submitted Charge Amount |
716976.93 |
Total Medicare Allowed Amount |
128556.94 |
Total Medicare Payment Amount |
95778.13 |
Total Medicare Standardized Payment Amount |
98687.71 |
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 |
139 |
Number Of Medical Services |
5126 |
Number Of Medicare Beneficiaries With Medical Services |
3363 |
Total Medical Submitted Charge Amount |
716976.93 |
Total Medical Medicare Allowed Amount |
128556.94 |
Total Medical Medicare Payment Amount |
95778.13 |
Total Medical Medicare Standardized Payment Amount |
98687.71 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
610 |
Number Of Beneficiaries Age 65 to 74 |
1161 |
Number Of Beneficiaries Age 75 to 84 |
991 |
Number Of Beneficiaries Age Greater 84 |
601 |
Number Of Female Beneficiaries |
1941 |
Number Of Male Beneficiaries |
1422 |
Number Of Non Hispanic White Beneficiaries |
3131 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
39 |
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
42 |
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
2563 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
800 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6329 |