National Provider Identifier [NPI]: |
1699769174 |
Last Name Of The Provider |
YATES |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1460 2ND AVE SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
362653358 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
4896 |
Number Of Medicare Beneficiaries |
1206 |
Total Submitted Charge Amount |
365473 |
Total Medicare Allowed Amount |
257680.97 |
Total Medicare Payment Amount |
185785.36 |
Total Medicare Standardized Payment Amount |
201943.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
224 |
Number Of Medicare Beneficiaries With Drug Services |
134 |
Total Drug Submitted ChargeAmount |
7235 |
Total Drug Medicare AllowedAmount |
3534.11 |
Total Drug Medicare PaymentAmount |
3427.19 |
Total Drug Medicare Standardized Payment Amount |
3427.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
4672 |
Number Of Medicare Beneficiaries With Medical Services |
1206 |
Total Medical Submitted Charge Amount |
358238 |
Total Medical Medicare Allowed Amount |
254146.86 |
Total Medical Medicare Payment Amount |
182358.17 |
Total Medical Medicare Standardized Payment Amount |
198516.49 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
355 |
Number Of Beneficiaries Age 65 to 74 |
367 |
Number Of Beneficiaries Age 75 to 84 |
304 |
Number Of Beneficiaries Age Greater 84 |
180 |
Number Of Female Beneficiaries |
717 |
Number Of Male Beneficiaries |
489 |
Number Of Non Hispanic White Beneficiaries |
1067 |
Number Of Black or African American Beneficiaries |
116 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
786 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
420 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4848 |