National Provider Identifier [NPI]: |
1669430146 |
Last Name Of The Provider |
CHOW |
First Name Of The Provider |
WARD |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
820 S MCCLELLAN |
Street Address 2 Of The Provider |
#LL10 |
City Of The Provider |
SPOKANE |
Zip Code Of The Provider |
99204 |
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 |
96 |
Number Of Services |
4817 |
Number Of Medicare Beneficiaries |
559 |
Total Submitted Charge Amount |
379252 |
Total Medicare Allowed Amount |
165517.5 |
Total Medicare Payment Amount |
121243.79 |
Total Medicare Standardized Payment Amount |
123529.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
166 |
Number Of Medicare Beneficiaries With Drug Services |
153 |
Total Drug Submitted ChargeAmount |
5800 |
Total Drug Medicare AllowedAmount |
4053.66 |
Total Drug Medicare PaymentAmount |
3793.78 |
Total Drug Medicare Standardized Payment Amount |
3793.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
4651 |
Number Of Medicare Beneficiaries With Medical Services |
558 |
Total Medical Submitted Charge Amount |
373452 |
Total Medical Medicare Allowed Amount |
161463.84 |
Total Medical Medicare Payment Amount |
117450.01 |
Total Medical Medicare Standardized Payment Amount |
119735.33 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
202 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
282 |
Number Of Male Beneficiaries |
277 |
Number Of Non Hispanic White Beneficiaries |
527 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
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 |
521 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1012 |