National Provider Identifier [NPI]: |
1922010925 |
Last Name Of The Provider |
YUBERO |
First Name Of The Provider |
FRANCIS |
Middle Initial Of The Provider |
X |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5825 HARRISON BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTH OGDEN |
Zip Code Of The Provider |
844034316 |
State Code Of The Provider |
UT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
2030 |
Number Of Medicare Beneficiaries |
257 |
Total Submitted Charge Amount |
227546 |
Total Medicare Allowed Amount |
104577.26 |
Total Medicare Payment Amount |
79498.22 |
Total Medicare Standardized Payment Amount |
82028.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
425 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
8600 |
Total Drug Medicare AllowedAmount |
760.33 |
Total Drug Medicare PaymentAmount |
585.39 |
Total Drug Medicare Standardized Payment Amount |
585.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
1605 |
Number Of Medicare Beneficiaries With Medical Services |
257 |
Total Medical Submitted Charge Amount |
218946 |
Total Medical Medicare Allowed Amount |
103816.93 |
Total Medical Medicare Payment Amount |
78912.83 |
Total Medical Medicare Standardized Payment Amount |
81443.44 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
98 |
Number Of Beneficiaries Age 75 to 84 |
81 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
150 |
Number Of Male Beneficiaries |
107 |
Number Of Non Hispanic White Beneficiaries |
237 |
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 |
236 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
1.5312 |