National Provider Identifier [NPI]: |
1689745143 |
Last Name Of The Provider |
YOUNG |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1404 BRISTOL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRYAN |
Zip Code Of The Provider |
778021919 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
3432 |
Number Of Medicare Beneficiaries |
559 |
Total Submitted Charge Amount |
414156.12 |
Total Medicare Allowed Amount |
165126.96 |
Total Medicare Payment Amount |
119046.42 |
Total Medicare Standardized Payment Amount |
125372.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
287 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
51640.12 |
Total Drug Medicare AllowedAmount |
20125.58 |
Total Drug Medicare PaymentAmount |
15376.1 |
Total Drug Medicare Standardized Payment Amount |
15376.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
3145 |
Number Of Medicare Beneficiaries With Medical Services |
559 |
Total Medical Submitted Charge Amount |
362516 |
Total Medical Medicare Allowed Amount |
145001.38 |
Total Medical Medicare Payment Amount |
103670.32 |
Total Medical Medicare Standardized Payment Amount |
109996.44 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
232 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
102 |
Number Of Male Beneficiaries |
457 |
Number Of Non Hispanic White Beneficiaries |
502 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
535 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0959 |