National Provider Identifier [NPI]: |
1659363505 |
Last Name Of The Provider |
TSAI |
First Name Of The Provider |
YONG |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1893 N CLYDE MORRIS BLVD |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
DAYTONA BEACH |
Zip Code Of The Provider |
321175535 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
145519 |
Number Of Medicare Beneficiaries |
989 |
Total Submitted Charge Amount |
2343069.04 |
Total Medicare Allowed Amount |
1933547.84 |
Total Medicare Payment Amount |
1488970.07 |
Total Medicare Standardized Payment Amount |
1484035.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
135592 |
Number Of Medicare Beneficiaries With Drug Services |
155 |
Total Drug Submitted ChargeAmount |
1626697 |
Total Drug Medicare AllowedAmount |
1440979.4 |
Total Drug Medicare PaymentAmount |
1123637.45 |
Total Drug Medicare Standardized Payment Amount |
1123637.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
9927 |
Number Of Medicare Beneficiaries With Medical Services |
989 |
Total Medical Submitted Charge Amount |
716372.04 |
Total Medical Medicare Allowed Amount |
492568.44 |
Total Medical Medicare Payment Amount |
365332.62 |
Total Medical Medicare Standardized Payment Amount |
360398.16 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
174 |
Number Of Beneficiaries Age 65 to 74 |
436 |
Number Of Beneficiaries Age 75 to 84 |
292 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
718 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
845 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
854 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
135 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3015 |