National Provider Identifier [NPI]: |
1215080411 |
Last Name Of The Provider |
YEN |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 S ENOTA DR NE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
305013466 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
3061 |
Number Of Medicare Beneficiaries |
1222 |
Total Submitted Charge Amount |
1026830.25 |
Total Medicare Allowed Amount |
328255.89 |
Total Medicare Payment Amount |
247915.98 |
Total Medicare Standardized Payment Amount |
260732.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
68 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
9048 |
Total Drug Medicare AllowedAmount |
3629.83 |
Total Drug Medicare PaymentAmount |
2845.76 |
Total Drug Medicare Standardized Payment Amount |
2845.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
2993 |
Number Of Medicare Beneficiaries With Medical Services |
1222 |
Total Medical Submitted Charge Amount |
1017782.25 |
Total Medical Medicare Allowed Amount |
324626.06 |
Total Medical Medicare Payment Amount |
245070.22 |
Total Medical Medicare Standardized Payment Amount |
257886.91 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
153 |
Number Of Beneficiaries Age 65 to 74 |
474 |
Number Of Beneficiaries Age 75 to 84 |
420 |
Number Of Beneficiaries Age Greater 84 |
175 |
Number Of Female Beneficiaries |
590 |
Number Of Male Beneficiaries |
632 |
Number Of Non Hispanic White Beneficiaries |
1136 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
962 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
260 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8025 |