National Provider Identifier [NPI]: |
1417174699 |
Last Name Of The Provider |
YAKAN |
First Name Of The Provider |
ADLI |
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 |
18223 E 10 MILE RD STE 100 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROSEVILLE |
Zip Code Of The Provider |
480665821 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
62603 |
Number Of Medicare Beneficiaries |
646 |
Total Submitted Charge Amount |
2622603 |
Total Medicare Allowed Amount |
1223325.78 |
Total Medicare Payment Amount |
958871.06 |
Total Medicare Standardized Payment Amount |
942829.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
38 |
Number Of Drug Services |
53617 |
Number Of Medicare Beneficiaries With Drug Services |
77 |
Total Drug Submitted ChargeAmount |
1668523 |
Total Drug Medicare AllowedAmount |
676304.48 |
Total Drug Medicare PaymentAmount |
529603.05 |
Total Drug Medicare Standardized Payment Amount |
529603.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
8986 |
Number Of Medicare Beneficiaries With Medical Services |
646 |
Total Medical Submitted Charge Amount |
954080 |
Total Medical Medicare Allowed Amount |
547021.3 |
Total Medical Medicare Payment Amount |
429268.01 |
Total Medical Medicare Standardized Payment Amount |
413226.3 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
208 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
368 |
Number Of Male Beneficiaries |
278 |
Number Of Non Hispanic White Beneficiaries |
459 |
Number Of Black or African American Beneficiaries |
171 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
482 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
164 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
46 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.4871 |