National Provider Identifier [NPI]: |
1174551931 |
Last Name Of The Provider |
YONKE |
First Name Of The Provider |
BRET |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1221 NICOLLET AVE |
Street Address 2 Of The Provider |
SUITE 600 |
City Of The Provider |
MINNEAPOLIS |
Zip Code Of The Provider |
554032420 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
129 |
Number Of Services |
5435 |
Number Of Medicare Beneficiaries |
1120 |
Total Submitted Charge Amount |
242005.9 |
Total Medicare Allowed Amount |
97791.32 |
Total Medicare Payment Amount |
71065.9 |
Total Medicare Standardized Payment Amount |
73322.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
3870 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
4142.75 |
Total Drug Medicare AllowedAmount |
1731.78 |
Total Drug Medicare PaymentAmount |
1261.43 |
Total Drug Medicare Standardized Payment Amount |
1261.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
122 |
Number Of Medical Services |
1565 |
Number Of Medicare Beneficiaries With Medical Services |
1118 |
Total Medical Submitted Charge Amount |
237863.15 |
Total Medical Medicare Allowed Amount |
96059.54 |
Total Medical Medicare Payment Amount |
69804.47 |
Total Medical Medicare Standardized Payment Amount |
72061.07 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
250 |
Number Of Beneficiaries Age 65 to 74 |
346 |
Number Of Beneficiaries Age 75 to 84 |
302 |
Number Of Beneficiaries Age Greater 84 |
222 |
Number Of Female Beneficiaries |
671 |
Number Of Male Beneficiaries |
449 |
Number Of Non Hispanic White Beneficiaries |
997 |
Number Of Black or African American Beneficiaries |
70 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
856 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
264 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4578 |