National Provider Identifier [NPI]: |
1225354202 |
Last Name Of The Provider |
YESVETZ |
First Name Of The Provider |
AMANDA |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3400 BATH PIKE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
BETHLEHEM |
Zip Code Of The Provider |
180172466 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
1545 |
Number Of Medicare Beneficiaries |
271 |
Total Submitted Charge Amount |
104574 |
Total Medicare Allowed Amount |
58666.91 |
Total Medicare Payment Amount |
44520.01 |
Total Medicare Standardized Payment Amount |
53622.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
649 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
10210 |
Total Drug Medicare AllowedAmount |
4711.6 |
Total Drug Medicare PaymentAmount |
3693.06 |
Total Drug Medicare Standardized Payment Amount |
3693.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
896 |
Number Of Medicare Beneficiaries With Medical Services |
271 |
Total Medical Submitted Charge Amount |
94364 |
Total Medical Medicare Allowed Amount |
53955.31 |
Total Medical Medicare Payment Amount |
40826.95 |
Total Medical Medicare Standardized Payment Amount |
49929.83 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
91 |
Number Of Beneficiaries Age 75 to 84 |
82 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
147 |
Number Of Male Beneficiaries |
124 |
Number Of Non Hispanic White Beneficiaries |
247 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
230 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
1.5303 |