Medicare Facts for Dr. Timothy B. Johnson, DO


National Provider Identifier [NPI]: 1942401286
Last Name Of The Provider JOHNSON
First Name Of The Provider TIMOTHY
Middle Initial Of The Provider B
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 222 15TH AVE SE
Street Address 2 Of The Provider
City Of The Provider PUYALLUP
Zip Code Of The Provider 983723754
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 146
Number Of Services 29573
Number Of Medicare Beneficiaries 2386
Total Submitted Charge Amount 904159
Total Medicare Allowed Amount 250618.84
Total Medicare Payment Amount 190997.13
Total Medicare Standardized Payment Amount 192654.41
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 26228
Number Of Medicare Beneficiaries With Drug Services 294
Total Drug Submitted ChargeAmount 52678
Total Drug Medicare AllowedAmount 5727.49
Total Drug Medicare PaymentAmount 4436.21
Total Drug Medicare Standardized Payment Amount 4436.21
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 142
Number Of Medical Services 3345
Number Of Medicare Beneficiaries With Medical Services 2386
Total Medical Submitted Charge Amount 851481
Total Medical Medicare Allowed Amount 244891.35
Total Medical Medicare Payment Amount 186560.92
Total Medical Medicare Standardized Payment Amount 188218.2
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 307
Number Of Beneficiaries Age 65 to 74 901
Number Of Beneficiaries Age 75 to 84 786
Number Of Beneficiaries Age Greater 84 392
Number Of Female Beneficiaries 1431
Number Of Male Beneficiaries 955
Number Of Non Hispanic White Beneficiaries 2144
Number Of Black or African American Beneficiaries 66
Number Of AsianPacific Islander Beneficiaries 58
Number Of Hispanic Beneficiaries 54
Number Of American Indian Alaska Native Beneficiaries 25
Number Of Beneficiaries With Race Not Else where Classified 39
Number Of Beneficiaries With Medicare Only Entitlement 1959
Number Of Beneficiaries With Medicare Medicaid Entitlement 427
Percent Of With Atrial Fibrillation 18
Percent Of With Alzheimers Disease or Dementia 14
Percent Of With Asthma 12
Percent Of With Cancer 18
Percent Of With Heart Failure 29
Percent Of With Chronic Kidney Disease 38
Percent Of With Chronic Obstructive Pulmonary Disease 26
Percent Of With Depression 28
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.6159

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