National Provider Identifier [NPI]: |
1164628756 |
Last Name Of The Provider |
EAGER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
33501 1ST WAY S |
Street Address 2 Of The Provider |
|
City Of The Provider |
FEDERAL WAY |
Zip Code Of The Provider |
980036208 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
9943 |
Number Of Medicare Beneficiaries |
982 |
Total Submitted Charge Amount |
730455.61 |
Total Medicare Allowed Amount |
242936.88 |
Total Medicare Payment Amount |
186403.8 |
Total Medicare Standardized Payment Amount |
179685.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
44 |
Number Of Drug Services |
6757 |
Number Of Medicare Beneficiaries With Drug Services |
267 |
Total Drug Submitted ChargeAmount |
261854.61 |
Total Drug Medicare AllowedAmount |
95543.64 |
Total Drug Medicare PaymentAmount |
75802.03 |
Total Drug Medicare Standardized Payment Amount |
75802.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
3186 |
Number Of Medicare Beneficiaries With Medical Services |
966 |
Total Medical Submitted Charge Amount |
468601 |
Total Medical Medicare Allowed Amount |
147393.24 |
Total Medical Medicare Payment Amount |
110601.77 |
Total Medical Medicare Standardized Payment Amount |
103883.31 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
387 |
Number Of Beneficiaries Age 75 to 84 |
332 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
484 |
Number Of Male Beneficiaries |
498 |
Number Of Non Hispanic White Beneficiaries |
866 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
885 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1997 |