National Provider Identifier [NPI]: |
1184669715 |
Last Name Of The Provider |
YAKEL |
First Name Of The Provider |
DEMIAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4140 CENTENNIAL HILLS BLVD STE A |
Street Address 2 Of The Provider |
|
City Of The Provider |
CASPER |
Zip Code Of The Provider |
826093265 |
State Code Of The Provider |
WY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
1972 |
Number Of Medicare Beneficiaries |
472 |
Total Submitted Charge Amount |
553532.6 |
Total Medicare Allowed Amount |
392500.96 |
Total Medicare Payment Amount |
302745.53 |
Total Medicare Standardized Payment Amount |
276842.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
76 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
380 |
Total Drug Medicare AllowedAmount |
380 |
Total Drug Medicare PaymentAmount |
297.92 |
Total Drug Medicare Standardized Payment Amount |
297.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
1896 |
Number Of Medicare Beneficiaries With Medical Services |
472 |
Total Medical Submitted Charge Amount |
553152.6 |
Total Medical Medicare Allowed Amount |
392120.96 |
Total Medical Medicare Payment Amount |
302447.61 |
Total Medical Medicare Standardized Payment Amount |
276544.56 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
210 |
Number Of Beneficiaries Age 75 to 84 |
149 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
274 |
Number Of Male Beneficiaries |
198 |
Number Of Non Hispanic White Beneficiaries |
447 |
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 |
412 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
33 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0398 |