National Provider Identifier [NPI]: |
1891970430 |
Last Name Of The Provider |
SHAHEEN |
First Name Of The Provider |
SABRINA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1901 SOUTH CEDAR ST. SUITE 301 |
Street Address 2 Of The Provider |
CARDIAC STUDY CENTER, INC., P.S. |
City Of The Provider |
TACOMA |
Zip Code Of The Provider |
98405 |
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 |
47 |
Number Of Services |
4745 |
Number Of Medicare Beneficiaries |
1650 |
Total Submitted Charge Amount |
1330556.28 |
Total Medicare Allowed Amount |
859435.48 |
Total Medicare Payment Amount |
662770.66 |
Total Medicare Standardized Payment Amount |
663143.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
879 |
Number Of Medicare Beneficiaries With Drug Services |
202 |
Total Drug Submitted ChargeAmount |
59952.2 |
Total Drug Medicare AllowedAmount |
42323.99 |
Total Drug Medicare PaymentAmount |
32871.77 |
Total Drug Medicare Standardized Payment Amount |
32871.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
3866 |
Number Of Medicare Beneficiaries With Medical Services |
1649 |
Total Medical Submitted Charge Amount |
1270604.08 |
Total Medical Medicare Allowed Amount |
817111.49 |
Total Medical Medicare Payment Amount |
629898.89 |
Total Medical Medicare Standardized Payment Amount |
630271.72 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
209 |
Number Of Beneficiaries Age 65 to 74 |
657 |
Number Of Beneficiaries Age 75 to 84 |
530 |
Number Of Beneficiaries Age Greater 84 |
254 |
Number Of Female Beneficiaries |
863 |
Number Of Male Beneficiaries |
787 |
Number Of Non Hispanic White Beneficiaries |
1421 |
Number Of Black or African American Beneficiaries |
76 |
Number Of AsianPacific Islander Beneficiaries |
66 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
26 |
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1343 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
307 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.557 |