National Provider Identifier [NPI]: |
1598758484 |
Last Name Of The Provider |
IREGUI |
First Name Of The Provider |
MANUEL |
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 |
1708 YAKIMA AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
TACOMA |
Zip Code Of The Provider |
984055307 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
2081 |
Number Of Medicare Beneficiaries |
624 |
Total Submitted Charge Amount |
432039 |
Total Medicare Allowed Amount |
190519.06 |
Total Medicare Payment Amount |
142131.99 |
Total Medicare Standardized Payment Amount |
144313.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
56 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
2635 |
Total Drug Medicare AllowedAmount |
1578.73 |
Total Drug Medicare PaymentAmount |
1506.4 |
Total Drug Medicare Standardized Payment Amount |
1506.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2025 |
Number Of Medicare Beneficiaries With Medical Services |
624 |
Total Medical Submitted Charge Amount |
429404 |
Total Medical Medicare Allowed Amount |
188940.33 |
Total Medical Medicare Payment Amount |
140625.59 |
Total Medical Medicare Standardized Payment Amount |
142806.79 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
266 |
Number Of Beneficiaries Age 75 to 84 |
182 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
320 |
Number Of Male Beneficiaries |
304 |
Number Of Non Hispanic White Beneficiaries |
537 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
486 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
138 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
26 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
54 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.0267 |