National Provider Identifier [NPI]: |
1033164389 |
Last Name Of The Provider |
STRAUSS |
First Name Of The Provider |
WAYNE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD, PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1111 NE 99TH AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
PORTLAND |
Zip Code Of The Provider |
972209428 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
1712 |
Number Of Medicare Beneficiaries |
390 |
Total Submitted Charge Amount |
321065 |
Total Medicare Allowed Amount |
90795.65 |
Total Medicare Payment Amount |
68339.36 |
Total Medicare Standardized Payment Amount |
68205.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
614 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
1318 |
Total Drug Medicare AllowedAmount |
384.05 |
Total Drug Medicare PaymentAmount |
354.92 |
Total Drug Medicare Standardized Payment Amount |
354.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
1098 |
Number Of Medicare Beneficiaries With Medical Services |
390 |
Total Medical Submitted Charge Amount |
319747 |
Total Medical Medicare Allowed Amount |
90411.6 |
Total Medical Medicare Payment Amount |
67984.44 |
Total Medical Medicare Standardized Payment Amount |
67850.75 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
156 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
222 |
Number Of Male Beneficiaries |
168 |
Number Of Non Hispanic White Beneficiaries |
336 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
17 |
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 |
265 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9211 |