National Provider Identifier [NPI]: |
1356310734 |
Last Name Of The Provider |
YSASAGA |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7411 WALLACE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
AMARILLO |
Zip Code Of The Provider |
791061835 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
53883 |
Number Of Medicare Beneficiaries |
2777 |
Total Submitted Charge Amount |
16497330 |
Total Medicare Allowed Amount |
5922901.84 |
Total Medicare Payment Amount |
4503476.14 |
Total Medicare Standardized Payment Amount |
4740411.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
11632 |
Number Of Medicare Beneficiaries With Drug Services |
791 |
Total Drug Submitted ChargeAmount |
2802460 |
Total Drug Medicare AllowedAmount |
1847751.94 |
Total Drug Medicare PaymentAmount |
1423387.7 |
Total Drug Medicare Standardized Payment Amount |
1423387.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
42251 |
Number Of Medicare Beneficiaries With Medical Services |
2777 |
Total Medical Submitted Charge Amount |
13694870 |
Total Medical Medicare Allowed Amount |
4075149.9 |
Total Medical Medicare Payment Amount |
3080088.44 |
Total Medical Medicare Standardized Payment Amount |
3317023.51 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
839 |
Number Of Beneficiaries Age 75 to 84 |
1109 |
Number Of Beneficiaries Age Greater 84 |
691 |
Number Of Female Beneficiaries |
1713 |
Number Of Male Beneficiaries |
1064 |
Number Of Non Hispanic White Beneficiaries |
2500 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
204 |
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
2513 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
264 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3162 |