National Provider Identifier [NPI]: |
1376545491 |
Last Name Of The Provider |
YEOMAN |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
925 GESSNER RD |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770242545 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
3464 |
Number Of Medicare Beneficiaries |
1071 |
Total Submitted Charge Amount |
511572.15 |
Total Medicare Allowed Amount |
267685.52 |
Total Medicare Payment Amount |
190340.33 |
Total Medicare Standardized Payment Amount |
190211.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
112 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
12096 |
Total Drug Medicare AllowedAmount |
5930.68 |
Total Drug Medicare PaymentAmount |
4649.62 |
Total Drug Medicare Standardized Payment Amount |
4649.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
3352 |
Number Of Medicare Beneficiaries With Medical Services |
1071 |
Total Medical Submitted Charge Amount |
499476.15 |
Total Medical Medicare Allowed Amount |
261754.84 |
Total Medical Medicare Payment Amount |
185690.71 |
Total Medical Medicare Standardized Payment Amount |
185562.13 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
346 |
Number Of Beneficiaries Age 75 to 84 |
378 |
Number Of Beneficiaries Age Greater 84 |
283 |
Number Of Female Beneficiaries |
602 |
Number Of Male Beneficiaries |
469 |
Number Of Non Hispanic White Beneficiaries |
915 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
72 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
964 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
107 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.6013 |