National Provider Identifier [NPI]: |
1831185966 |
Last Name Of The Provider |
MOHAI |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
515 MINOR AVE |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
981042120 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
46443 |
Number Of Medicare Beneficiaries |
384 |
Total Submitted Charge Amount |
2276644 |
Total Medicare Allowed Amount |
810052.14 |
Total Medicare Payment Amount |
620657.07 |
Total Medicare Standardized Payment Amount |
613885.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
42588 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
1854014 |
Total Drug Medicare AllowedAmount |
650541.58 |
Total Drug Medicare PaymentAmount |
501489.8 |
Total Drug Medicare Standardized Payment Amount |
501489.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
3855 |
Number Of Medicare Beneficiaries With Medical Services |
384 |
Total Medical Submitted Charge Amount |
422630 |
Total Medical Medicare Allowed Amount |
159510.56 |
Total Medical Medicare Payment Amount |
119167.27 |
Total Medical Medicare Standardized Payment Amount |
112395.91 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
161 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
283 |
Number Of Male Beneficiaries |
101 |
Number Of Non Hispanic White Beneficiaries |
297 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
27 |
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 |
304 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4183 |