National Provider Identifier [NPI]: |
1154389518 |
Last Name Of The Provider |
UYEKI |
First Name Of The Provider |
MIKE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11645 WILSHIRE BLVD |
Street Address 2 Of The Provider |
SUITE 901 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900256810 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
10115 |
Number Of Medicare Beneficiaries |
321 |
Total Submitted Charge Amount |
841976 |
Total Medicare Allowed Amount |
302635.12 |
Total Medicare Payment Amount |
240712.38 |
Total Medicare Standardized Payment Amount |
225925.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2631 |
Number Of Medicare Beneficiaries With Drug Services |
224 |
Total Drug Submitted ChargeAmount |
93700 |
Total Drug Medicare AllowedAmount |
40651.46 |
Total Drug Medicare PaymentAmount |
32969.89 |
Total Drug Medicare Standardized Payment Amount |
32969.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
7484 |
Number Of Medicare Beneficiaries With Medical Services |
321 |
Total Medical Submitted Charge Amount |
748276 |
Total Medical Medicare Allowed Amount |
261983.66 |
Total Medical Medicare Payment Amount |
207742.49 |
Total Medical Medicare Standardized Payment Amount |
192955.9 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
111 |
Number Of Beneficiaries Age 75 to 84 |
124 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
193 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
43 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
240 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
307 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
|
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
|
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0709 |