National Provider Identifier [NPI]: |
1114014248 |
Last Name Of The Provider |
YOUREE |
First Name Of The Provider |
BRYAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1124 COLLEGE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT WORTH |
Zip Code Of The Provider |
761044557 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
6559 |
Number Of Medicare Beneficiaries |
595 |
Total Submitted Charge Amount |
981628.15 |
Total Medicare Allowed Amount |
362474.15 |
Total Medicare Payment Amount |
279355.4 |
Total Medicare Standardized Payment Amount |
284077.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2933 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
367442.02 |
Total Drug Medicare AllowedAmount |
102408.35 |
Total Drug Medicare PaymentAmount |
80287.31 |
Total Drug Medicare Standardized Payment Amount |
80287.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
3626 |
Number Of Medicare Beneficiaries With Medical Services |
595 |
Total Medical Submitted Charge Amount |
614186.13 |
Total Medical Medicare Allowed Amount |
260065.8 |
Total Medical Medicare Payment Amount |
199068.09 |
Total Medical Medicare Standardized Payment Amount |
203790.33 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
195 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
168 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
300 |
Number Of Male Beneficiaries |
295 |
Number Of Non Hispanic White Beneficiaries |
407 |
Number Of Black or African American Beneficiaries |
104 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
403 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
192 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
72 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
3.965 |