National Provider Identifier [NPI]: |
1538156310 |
Last Name Of The Provider |
YU |
First Name Of The Provider |
THOMAS |
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 |
99 HIGHWAY 37 |
Street Address 2 Of The Provider |
|
City Of The Provider |
TOMS RIVER |
Zip Code Of The Provider |
087556423 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
333 |
Number Of Services |
15800 |
Number Of Medicare Beneficiaries |
6164 |
Total Submitted Charge Amount |
2468040 |
Total Medicare Allowed Amount |
566459.13 |
Total Medicare Payment Amount |
440226.98 |
Total Medicare Standardized Payment Amount |
420899.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4160 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
5183 |
Total Drug Medicare AllowedAmount |
1381.35 |
Total Drug Medicare PaymentAmount |
1022.3 |
Total Drug Medicare Standardized Payment Amount |
1022.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
330 |
Number Of Medical Services |
11640 |
Number Of Medicare Beneficiaries With Medical Services |
6164 |
Total Medical Submitted Charge Amount |
2462857 |
Total Medical Medicare Allowed Amount |
565077.78 |
Total Medical Medicare Payment Amount |
439204.68 |
Total Medical Medicare Standardized Payment Amount |
419877.05 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
710 |
Number Of Beneficiaries Age 65 to 74 |
2195 |
Number Of Beneficiaries Age 75 to 84 |
2068 |
Number Of Beneficiaries Age Greater 84 |
1191 |
Number Of Female Beneficiaries |
3628 |
Number Of Male Beneficiaries |
2536 |
Number Of Non Hispanic White Beneficiaries |
5666 |
Number Of Black or African American Beneficiaries |
197 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
191 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
59 |
Number Of Beneficiaries With Medicare Only Entitlement |
5375 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
789 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8112 |