National Provider Identifier [NPI]: |
1043302615 |
Last Name Of The Provider |
YAGER |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3023 HAMAKER CT |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
FAIRFAX |
Zip Code Of The Provider |
220315216 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
4480 |
Number Of Medicare Beneficiaries |
1105 |
Total Submitted Charge Amount |
1194862.94 |
Total Medicare Allowed Amount |
575526.78 |
Total Medicare Payment Amount |
422142.48 |
Total Medicare Standardized Payment Amount |
378301.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
428 |
Number Of Medicare Beneficiaries With Drug Services |
106 |
Total Drug Submitted ChargeAmount |
42383.2 |
Total Drug Medicare AllowedAmount |
22659.42 |
Total Drug Medicare PaymentAmount |
17344.45 |
Total Drug Medicare Standardized Payment Amount |
17344.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
4052 |
Number Of Medicare Beneficiaries With Medical Services |
1105 |
Total Medical Submitted Charge Amount |
1152479.74 |
Total Medical Medicare Allowed Amount |
552867.36 |
Total Medical Medicare Payment Amount |
404798.03 |
Total Medical Medicare Standardized Payment Amount |
360957 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
503 |
Number Of Beneficiaries Age 75 to 84 |
405 |
Number Of Beneficiaries Age Greater 84 |
165 |
Number Of Female Beneficiaries |
571 |
Number Of Male Beneficiaries |
534 |
Number Of Non Hispanic White Beneficiaries |
943 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
48 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1048 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1535 |