National Provider Identifier [NPI]: |
1073746103 |
Last Name Of The Provider |
TOOLS |
First Name Of The Provider |
TATYANA |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
ARNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1628 S MILDRED ST STE 105 |
Street Address 2 Of The Provider |
|
City Of The Provider |
TACOMA |
Zip Code Of The Provider |
984651628 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
2884 |
Number Of Medicare Beneficiaries |
781 |
Total Submitted Charge Amount |
180151 |
Total Medicare Allowed Amount |
115329.34 |
Total Medicare Payment Amount |
80499.17 |
Total Medicare Standardized Payment Amount |
98829.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1197 |
Number Of Medicare Beneficiaries With Drug Services |
114 |
Total Drug Submitted ChargeAmount |
10845 |
Total Drug Medicare AllowedAmount |
6077.8 |
Total Drug Medicare PaymentAmount |
4714.89 |
Total Drug Medicare Standardized Payment Amount |
4714.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
1687 |
Number Of Medicare Beneficiaries With Medical Services |
781 |
Total Medical Submitted Charge Amount |
169306 |
Total Medical Medicare Allowed Amount |
109251.54 |
Total Medical Medicare Payment Amount |
75784.28 |
Total Medical Medicare Standardized Payment Amount |
94114.97 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
366 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
623 |
Number Of Male Beneficiaries |
158 |
Number Of Non Hispanic White Beneficiaries |
699 |
Number Of Black or African American Beneficiaries |
54 |
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 |
701 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
32 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3104 |