National Provider Identifier [NPI]: |
1326000407 |
Last Name Of The Provider |
KUHLE |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 NE MOTHER JOSEPH PL |
Street Address 2 Of The Provider |
|
City Of The Provider |
VANCOUVER |
Zip Code Of The Provider |
986643200 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
155 |
Number Of Services |
2628 |
Number Of Medicare Beneficiaries |
1668 |
Total Submitted Charge Amount |
320914.18 |
Total Medicare Allowed Amount |
100937.14 |
Total Medicare Payment Amount |
77689.56 |
Total Medicare Standardized Payment Amount |
80067.34 |
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 |
155 |
Number Of Medical Services |
2628 |
Number Of Medicare Beneficiaries With Medical Services |
1668 |
Total Medical Submitted Charge Amount |
320914.18 |
Total Medical Medicare Allowed Amount |
100937.14 |
Total Medical Medicare Payment Amount |
77689.56 |
Total Medical Medicare Standardized Payment Amount |
80067.34 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
388 |
Number Of Beneficiaries Age 65 to 74 |
563 |
Number Of Beneficiaries Age 75 to 84 |
454 |
Number Of Beneficiaries Age Greater 84 |
263 |
Number Of Female Beneficiaries |
977 |
Number Of Male Beneficiaries |
691 |
Number Of Non Hispanic White Beneficiaries |
1469 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
52 |
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
54 |
Number Of Beneficiaries With Medicare Only Entitlement |
995 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
673 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8759 |