National Provider Identifier [NPI]: |
1730176207 |
Last Name Of The Provider |
LIKOSKY |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
515 MINOR AVE |
Street Address 2 Of The Provider |
STE 210 |
City Of The Provider |
SEATTLE |
Zip Code Of The Provider |
981042120 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
3111 |
Number Of Medicare Beneficiaries |
530 |
Total Submitted Charge Amount |
443229 |
Total Medicare Allowed Amount |
171026.25 |
Total Medicare Payment Amount |
126084.86 |
Total Medicare Standardized Payment Amount |
118934.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1721 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
2376 |
Total Drug Medicare AllowedAmount |
480.53 |
Total Drug Medicare PaymentAmount |
375.06 |
Total Drug Medicare Standardized Payment Amount |
375.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
1390 |
Number Of Medicare Beneficiaries With Medical Services |
530 |
Total Medical Submitted Charge Amount |
440853 |
Total Medical Medicare Allowed Amount |
170545.72 |
Total Medical Medicare Payment Amount |
125709.8 |
Total Medical Medicare Standardized Payment Amount |
118559.82 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
196 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
271 |
Number Of Male Beneficiaries |
259 |
Number Of Non Hispanic White Beneficiaries |
398 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
57 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
435 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
95 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
55 |
Average HCC Risk Score Of Beneficiaries |
1.5 |