National Provider Identifier [NPI]: |
1952359283 |
Last Name Of The Provider |
YAMAUCHI |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8540 S SEPULVEDA BLVD |
Street Address 2 Of The Provider |
# 911 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900453807 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
11817 |
Number Of Medicare Beneficiaries |
820 |
Total Submitted Charge Amount |
686501 |
Total Medicare Allowed Amount |
495923.05 |
Total Medicare Payment Amount |
368032.1 |
Total Medicare Standardized Payment Amount |
346622.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3586 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
159080 |
Total Drug Medicare AllowedAmount |
103881.38 |
Total Drug Medicare PaymentAmount |
81061.76 |
Total Drug Medicare Standardized Payment Amount |
81061.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
8231 |
Number Of Medicare Beneficiaries With Medical Services |
820 |
Total Medical Submitted Charge Amount |
527421 |
Total Medical Medicare Allowed Amount |
392041.67 |
Total Medical Medicare Payment Amount |
286970.34 |
Total Medical Medicare Standardized Payment Amount |
265560.8 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
217 |
Number Of Beneficiaries Age 75 to 84 |
292 |
Number Of Beneficiaries Age Greater 84 |
294 |
Number Of Female Beneficiaries |
218 |
Number Of Male Beneficiaries |
602 |
Number Of Non Hispanic White Beneficiaries |
133 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
545 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
56 |
Number Of Beneficiaries With Medicare Only Entitlement |
764 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
7 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1303 |