National Provider Identifier [NPI]: |
1992828560 |
Last Name Of The Provider |
YU |
First Name Of The Provider |
LIMIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1301 CATHERINE |
Street Address 2 Of The Provider |
M4211, MSI |
City Of The Provider |
ANN ARBOR |
Zip Code Of The Provider |
481090602 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
4863 |
Number Of Medicare Beneficiaries |
2996 |
Total Submitted Charge Amount |
875766.55 |
Total Medicare Allowed Amount |
362693.03 |
Total Medicare Payment Amount |
275243.39 |
Total Medicare Standardized Payment Amount |
214139.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
4863 |
Number Of Medicare Beneficiaries With Medical Services |
2996 |
Total Medical Submitted Charge Amount |
875766.55 |
Total Medical Medicare Allowed Amount |
362693.03 |
Total Medical Medicare Payment Amount |
275243.39 |
Total Medical Medicare Standardized Payment Amount |
214139.22 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
228 |
Number Of Beneficiaries Age 65 to 74 |
1413 |
Number Of Beneficiaries Age 75 to 84 |
947 |
Number Of Beneficiaries Age Greater 84 |
408 |
Number Of Female Beneficiaries |
1427 |
Number Of Male Beneficiaries |
1569 |
Number Of Non Hispanic White Beneficiaries |
2673 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
93 |
Number Of Hispanic Beneficiaries |
141 |
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
2612 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
384 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0186 |