National Provider Identifier [NPI]: |
1710166467 |
Last Name Of The Provider |
NATHE |
First Name Of The Provider |
TYLER |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1231 116TH AVE NE |
Street Address 2 Of The Provider |
SUITE 750 |
City Of The Provider |
BELLEVUE |
Zip Code Of The Provider |
980043804 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
1296 |
Number Of Medicare Beneficiaries |
176 |
Total Submitted Charge Amount |
222379 |
Total Medicare Allowed Amount |
87934.58 |
Total Medicare Payment Amount |
66713.98 |
Total Medicare Standardized Payment Amount |
63455.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
611 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
9795 |
Total Drug Medicare AllowedAmount |
4447.07 |
Total Drug Medicare PaymentAmount |
3480.9 |
Total Drug Medicare Standardized Payment Amount |
3480.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
685 |
Number Of Medicare Beneficiaries With Medical Services |
176 |
Total Medical Submitted Charge Amount |
212584 |
Total Medical Medicare Allowed Amount |
83487.51 |
Total Medical Medicare Payment Amount |
63233.08 |
Total Medical Medicare Standardized Payment Amount |
59974.8 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
83 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
117 |
Number Of Male Beneficiaries |
59 |
Number Of Non Hispanic White Beneficiaries |
155 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
149 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
|
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0487 |