National Provider Identifier [NPI]: |
1003924630 |
Last Name Of The Provider |
VOSSLER |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12333 NE 130TH LANE |
Street Address 2 Of The Provider |
#320 |
City Of The Provider |
KIRKLAND |
Zip Code Of The Provider |
980343039 |
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 |
57 |
Number Of Services |
3397 |
Number Of Medicare Beneficiaries |
1383 |
Total Submitted Charge Amount |
422935 |
Total Medicare Allowed Amount |
195752.17 |
Total Medicare Payment Amount |
144317.39 |
Total Medicare Standardized Payment Amount |
137915.25 |
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 |
57 |
Number Of Medical Services |
3397 |
Number Of Medicare Beneficiaries With Medical Services |
1383 |
Total Medical Submitted Charge Amount |
422935 |
Total Medical Medicare Allowed Amount |
195752.17 |
Total Medical Medicare Payment Amount |
144317.39 |
Total Medical Medicare Standardized Payment Amount |
137915.25 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
456 |
Number Of Beneficiaries Age 75 to 84 |
467 |
Number Of Beneficiaries Age Greater 84 |
371 |
Number Of Female Beneficiaries |
750 |
Number Of Male Beneficiaries |
633 |
Number Of Non Hispanic White Beneficiaries |
1247 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
53 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
1147 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
236 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.708 |