National Provider Identifier [NPI]: |
1023118486 |
Last Name Of The Provider |
YU |
First Name Of The Provider |
HON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2621 S BRISTOL STREET |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
SANTA ANA |
Zip Code Of The Provider |
92704 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
6232 |
Number Of Medicare Beneficiaries |
374 |
Total Submitted Charge Amount |
930223 |
Total Medicare Allowed Amount |
651506.4 |
Total Medicare Payment Amount |
509852.92 |
Total Medicare Standardized Payment Amount |
462845.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
66 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
2620 |
Total Drug Medicare AllowedAmount |
970.66 |
Total Drug Medicare PaymentAmount |
951.26 |
Total Drug Medicare Standardized Payment Amount |
951.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
6166 |
Number Of Medicare Beneficiaries With Medical Services |
374 |
Total Medical Submitted Charge Amount |
927603 |
Total Medical Medicare Allowed Amount |
650535.74 |
Total Medical Medicare Payment Amount |
508901.66 |
Total Medical Medicare Standardized Payment Amount |
461893.87 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
106 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
203 |
Number Of Male Beneficiaries |
171 |
Number Of Non Hispanic White Beneficiaries |
114 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
120 |
Number Of Hispanic Beneficiaries |
118 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
79 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
295 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
48 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
24 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
3.0965 |