National Provider Identifier [NPI]: |
1396955902 |
Last Name Of The Provider |
YANG |
First Name Of The Provider |
CAROLINE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D., M.B.A |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
837 CYPRESS CREEK PKWY |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770903423 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
114 |
Number Of Services |
5280 |
Number Of Medicare Beneficiaries |
697 |
Total Submitted Charge Amount |
1788002.34 |
Total Medicare Allowed Amount |
133439.83 |
Total Medicare Payment Amount |
100620.16 |
Total Medicare Standardized Payment Amount |
107372.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3513 |
Number Of Medicare Beneficiaries With Drug Services |
67 |
Total Drug Submitted ChargeAmount |
12246 |
Total Drug Medicare AllowedAmount |
2088.42 |
Total Drug Medicare PaymentAmount |
1637.35 |
Total Drug Medicare Standardized Payment Amount |
1637.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
1767 |
Number Of Medicare Beneficiaries With Medical Services |
697 |
Total Medical Submitted Charge Amount |
1775756.34 |
Total Medical Medicare Allowed Amount |
131351.41 |
Total Medical Medicare Payment Amount |
98982.81 |
Total Medical Medicare Standardized Payment Amount |
105734.83 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
386 |
Number Of Beneficiaries Age 75 to 84 |
187 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
401 |
Number Of Male Beneficiaries |
296 |
Number Of Non Hispanic White Beneficiaries |
585 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
630 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2249 |