National Provider Identifier [NPI]: |
1275572869 |
Last Name Of The Provider |
YANES |
First Name Of The Provider |
BURHAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 MIAMI VALLEY DR |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
CENTERVILLE |
Zip Code Of The Provider |
454594779 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
137 |
Number Of Services |
95461 |
Number Of Medicare Beneficiaries |
492 |
Total Submitted Charge Amount |
3350789.74 |
Total Medicare Allowed Amount |
1630701.45 |
Total Medicare Payment Amount |
1264630.21 |
Total Medicare Standardized Payment Amount |
1268627.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
77 |
Number Of Drug Services |
90926 |
Number Of Medicare Beneficiaries With Drug Services |
230 |
Total Drug Submitted ChargeAmount |
2800951.64 |
Total Drug Medicare AllowedAmount |
1390247.41 |
Total Drug Medicare PaymentAmount |
1083589.54 |
Total Drug Medicare Standardized Payment Amount |
1083589.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
4535 |
Number Of Medicare Beneficiaries With Medical Services |
491 |
Total Medical Submitted Charge Amount |
549838.1 |
Total Medical Medicare Allowed Amount |
240454.04 |
Total Medical Medicare Payment Amount |
181040.67 |
Total Medical Medicare Standardized Payment Amount |
185037.96 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
201 |
Number Of Beneficiaries Age 75 to 84 |
162 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
268 |
Number Of Male Beneficiaries |
224 |
Number Of Non Hispanic White Beneficiaries |
434 |
Number Of Black or African American Beneficiaries |
|
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 |
426 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9933 |