| National Provider Identifier [NPI]: | 1912902560 |
| Last Name Of The Provider | YI |
| First Name Of The Provider | JEAN |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 407 LONGVIEW DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | WEST CHESTER |
| Zip Code Of The Provider | 193803879 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 135 |
| Number Of Services | 5628 |
| Number Of Medicare Beneficiaries | 2764 |
| Total Submitted Charge Amount | 1534206.27 |
| Total Medicare Allowed Amount | 310442.75 |
| Total Medicare Payment Amount | 240009.02 |
| Total Medicare Standardized Payment Amount | 233241.4 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1457 |
| Number Of Medicare Beneficiaries With Drug Services | 141 |
| Total Drug Submitted ChargeAmount | 6839.27 |
| Total Drug Medicare AllowedAmount | 758.77 |
| Total Drug Medicare PaymentAmount | 591.31 |
| Total Drug Medicare Standardized Payment Amount | 591.31 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 133 |
| Number Of Medical Services | 4171 |
| Number Of Medicare Beneficiaries With Medical Services | 2764 |
| Total Medical Submitted Charge Amount | 1527367 |
| Total Medical Medicare Allowed Amount | 309683.98 |
| Total Medical Medicare Payment Amount | 239417.71 |
| Total Medical Medicare Standardized Payment Amount | 232650.09 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 234 |
| Number Of Beneficiaries Age 65 to 74 | 874 |
| Number Of Beneficiaries Age 75 to 84 | 871 |
| Number Of Beneficiaries Age Greater 84 | 785 |
| Number Of Female Beneficiaries | 1635 |
| Number Of Male Beneficiaries | 1129 |
| Number Of Non Hispanic White Beneficiaries | 2526 |
| Number Of Black or African American Beneficiaries | 161 |
| Number Of AsianPacific Islander Beneficiaries | 26 |
| Number Of Hispanic Beneficiaries | 16 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 35 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2458 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 306 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 28 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 21 |
| Average HCC Risk Score Of Beneficiaries | 1.6707 |