Medicare Facts for Dr. Supriya K. Mystkowski, MD


National Provider Identifier [NPI]: 1235231929
Last Name Of The Provider MYSTKOWSKI
First Name Of The Provider SUPRIYA
Middle Initial Of The Provider K
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 11521 NE 128TH ST STE 130
Street Address 2 Of The Provider
City Of The Provider KIRKLAND
Zip Code Of The Provider 980344317
State Code Of The Provider WA
Country Code Of The Provider US
Provider Type Of The Provider Unknown Supplier/Provider
Medicare Participation Indicator Y
Number Of HCPCS 10
Number Of Services 264
Number Of Medicare Beneficiaries 148
Total Submitted Charge Amount 44330
Total Medicare Allowed Amount 21263.98
Total Medicare Payment Amount 15508.23
Total Medicare Standardized Payment Amount 15364.38
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 10
Number Of Medical Services 264
Number Of Medicare Beneficiaries With Medical Services 148
Total Medical Submitted Charge Amount 44330
Total Medical Medicare Allowed Amount 21263.98
Total Medical Medicare Payment Amount 15508.23
Total Medical Medicare Standardized Payment Amount 15364.38
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 15
Number Of Beneficiaries Age 65 to 74 71
Number Of Beneficiaries Age 75 to 84 48
Number Of Beneficiaries Age Greater 84 14
Number Of Female Beneficiaries 73
Number Of Male Beneficiaries 75
Number Of Non Hispanic White Beneficiaries 136
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 123
Number Of Beneficiaries With Medicare Medicaid Entitlement 25
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 10
Percent Of With Cancer 10
Percent Of With Heart Failure 26
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 34
Percent Of With Diabetes 34
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 45
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.3906

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