National Provider Identifier [NPI]: |
1437184082 |
Last Name Of The Provider |
YI |
First Name Of The Provider |
CATHERINE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 E HURON ST |
Street Address 2 Of The Provider |
12TH FL. SUITE 105 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606113197 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
722 |
Number Of Medicare Beneficiaries |
254 |
Total Submitted Charge Amount |
143850.43 |
Total Medicare Allowed Amount |
59133.05 |
Total Medicare Payment Amount |
41141.66 |
Total Medicare Standardized Payment Amount |
38945.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
78 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
7062 |
Total Drug Medicare AllowedAmount |
3999.08 |
Total Drug Medicare PaymentAmount |
3899.38 |
Total Drug Medicare Standardized Payment Amount |
3899.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
644 |
Number Of Medicare Beneficiaries With Medical Services |
254 |
Total Medical Submitted Charge Amount |
136788.43 |
Total Medical Medicare Allowed Amount |
55133.97 |
Total Medical Medicare Payment Amount |
37242.28 |
Total Medical Medicare Standardized Payment Amount |
35045.75 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
60 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
208 |
Number Of Male Beneficiaries |
46 |
Number Of Non Hispanic White Beneficiaries |
108 |
Number Of Black or African American Beneficiaries |
85 |
Number Of AsianPacific Islander Beneficiaries |
30 |
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 |
189 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
21 |
Percent Of With Hypertension |
43 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8915 |