National Provider Identifier [NPI]: |
1568424919 |
Last Name Of The Provider |
LIU |
First Name Of The Provider |
YONG |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
181 ANDRIEUX ST |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
SONOMA |
Zip Code Of The Provider |
954766932 |
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 |
48 |
Number Of Services |
3088 |
Number Of Medicare Beneficiaries |
452 |
Total Submitted Charge Amount |
303154.23 |
Total Medicare Allowed Amount |
230131.95 |
Total Medicare Payment Amount |
168377.51 |
Total Medicare Standardized Payment Amount |
165906.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
542 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
11995.36 |
Total Drug Medicare AllowedAmount |
10816.85 |
Total Drug Medicare PaymentAmount |
9727.6 |
Total Drug Medicare Standardized Payment Amount |
9727.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
2546 |
Number Of Medicare Beneficiaries With Medical Services |
452 |
Total Medical Submitted Charge Amount |
291158.87 |
Total Medical Medicare Allowed Amount |
219315.1 |
Total Medical Medicare Payment Amount |
158649.91 |
Total Medical Medicare Standardized Payment Amount |
156178.82 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
339 |
Number Of Male Beneficiaries |
113 |
Number Of Non Hispanic White Beneficiaries |
414 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
433 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9749 |