National Provider Identifier [NPI]: |
1316979644 |
Last Name Of The Provider |
SIMPSON |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
19501 STATE ROUTE 195 |
Street Address 2 Of The Provider |
|
City Of The Provider |
PULLMAN |
Zip Code Of The Provider |
991639610 |
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 |
98 |
Number Of Services |
9622 |
Number Of Medicare Beneficiaries |
681 |
Total Submitted Charge Amount |
606190.86 |
Total Medicare Allowed Amount |
332490.59 |
Total Medicare Payment Amount |
251974.55 |
Total Medicare Standardized Payment Amount |
252452.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
341 |
Number Of Medicare Beneficiaries With Drug Services |
225 |
Total Drug Submitted ChargeAmount |
7551.5 |
Total Drug Medicare AllowedAmount |
4718.91 |
Total Drug Medicare PaymentAmount |
4566.81 |
Total Drug Medicare Standardized Payment Amount |
4566.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
9281 |
Number Of Medicare Beneficiaries With Medical Services |
681 |
Total Medical Submitted Charge Amount |
598639.36 |
Total Medical Medicare Allowed Amount |
327771.68 |
Total Medical Medicare Payment Amount |
247407.74 |
Total Medical Medicare Standardized Payment Amount |
247885.34 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
258 |
Number Of Beneficiaries Age 75 to 84 |
252 |
Number Of Beneficiaries Age Greater 84 |
156 |
Number Of Female Beneficiaries |
335 |
Number Of Male Beneficiaries |
346 |
Number Of Non Hispanic White Beneficiaries |
649 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
13 |
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 |
659 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9752 |