National Provider Identifier [NPI]: |
1780616318 |
Last Name Of The Provider |
YAMAMOTO |
First Name Of The Provider |
ALVIN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3291 RAMOS CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958272516 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
179 |
Number Of Services |
13080 |
Number Of Medicare Beneficiaries |
2775 |
Total Submitted Charge Amount |
2335865.7 |
Total Medicare Allowed Amount |
507316.61 |
Total Medicare Payment Amount |
395819.33 |
Total Medicare Standardized Payment Amount |
391274.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
9182 |
Number Of Medicare Beneficiaries With Drug Services |
116 |
Total Drug Submitted ChargeAmount |
28329.5 |
Total Drug Medicare AllowedAmount |
4886.95 |
Total Drug Medicare PaymentAmount |
3831.3 |
Total Drug Medicare Standardized Payment Amount |
3831.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
174 |
Number Of Medical Services |
3898 |
Number Of Medicare Beneficiaries With Medical Services |
2775 |
Total Medical Submitted Charge Amount |
2307536.2 |
Total Medical Medicare Allowed Amount |
502429.66 |
Total Medical Medicare Payment Amount |
391988.03 |
Total Medical Medicare Standardized Payment Amount |
387443.44 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
600 |
Number Of Beneficiaries Age 65 to 74 |
929 |
Number Of Beneficiaries Age 75 to 84 |
795 |
Number Of Beneficiaries Age Greater 84 |
451 |
Number Of Female Beneficiaries |
1604 |
Number Of Male Beneficiaries |
1171 |
Number Of Non Hispanic White Beneficiaries |
1843 |
Number Of Black or African American Beneficiaries |
301 |
Number Of AsianPacific Islander Beneficiaries |
298 |
Number Of Hispanic Beneficiaries |
255 |
Number Of American Indian Alaska Native Beneficiaries |
21 |
Number Of Beneficiaries With Race Not Else where Classified |
57 |
Number Of Beneficiaries With Medicare Only Entitlement |
1526 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1249 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9461 |