National Provider Identifier [NPI]: |
1861460735 |
Last Name Of The Provider |
YAO |
First Name Of The Provider |
WEIPING |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1235 W VINE ST |
Street Address 2 Of The Provider |
SUITE 22 |
City Of The Provider |
LODI |
Zip Code Of The Provider |
952405144 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
1417 |
Number Of Medicare Beneficiaries |
458 |
Total Submitted Charge Amount |
359459.2 |
Total Medicare Allowed Amount |
145603.25 |
Total Medicare Payment Amount |
105413.54 |
Total Medicare Standardized Payment Amount |
102462.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
63 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
1599 |
Total Drug Medicare AllowedAmount |
218.67 |
Total Drug Medicare PaymentAmount |
163.22 |
Total Drug Medicare Standardized Payment Amount |
163.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1354 |
Number Of Medicare Beneficiaries With Medical Services |
458 |
Total Medical Submitted Charge Amount |
357860.2 |
Total Medical Medicare Allowed Amount |
145384.58 |
Total Medical Medicare Payment Amount |
105250.32 |
Total Medical Medicare Standardized Payment Amount |
102299.18 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
129 |
Number Of Beneficiaries Age 75 to 84 |
131 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
250 |
Number Of Male Beneficiaries |
208 |
Number Of Non Hispanic White Beneficiaries |
326 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
78 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
254 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
204 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
1.7076 |