National Provider Identifier [NPI]: |
1437372521 |
Last Name Of The Provider |
YU |
First Name Of The Provider |
KAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD,PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3303 S LINDSAY RD |
Street Address 2 Of The Provider |
SUITE 118 |
City Of The Provider |
GILBERT |
Zip Code Of The Provider |
852972100 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
17483 |
Number Of Medicare Beneficiaries |
396 |
Total Submitted Charge Amount |
529619 |
Total Medicare Allowed Amount |
297405.62 |
Total Medicare Payment Amount |
220770.27 |
Total Medicare Standardized Payment Amount |
223772.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
15750 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
157500 |
Total Drug Medicare AllowedAmount |
86703.48 |
Total Drug Medicare PaymentAmount |
67157.33 |
Total Drug Medicare Standardized Payment Amount |
67157.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
1733 |
Number Of Medicare Beneficiaries With Medical Services |
396 |
Total Medical Submitted Charge Amount |
372119 |
Total Medical Medicare Allowed Amount |
210702.14 |
Total Medical Medicare Payment Amount |
153612.94 |
Total Medical Medicare Standardized Payment Amount |
156615.01 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
210 |
Number Of Beneficiaries Age 75 to 84 |
104 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
230 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
331 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
356 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.3234 |