National Provider Identifier [NPI]: |
1932128618 |
Last Name Of The Provider |
YUE |
First Name Of The Provider |
JIMMY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
320 S GARFIELD AVE STE 206 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALHAMBRA |
Zip Code Of The Provider |
918016815 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
11944 |
Number Of Medicare Beneficiaries |
1016 |
Total Submitted Charge Amount |
1291220 |
Total Medicare Allowed Amount |
993680.73 |
Total Medicare Payment Amount |
760717.97 |
Total Medicare Standardized Payment Amount |
711574.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
577 |
Number Of Medicare Beneficiaries With Drug Services |
321 |
Total Drug Submitted ChargeAmount |
15205 |
Total Drug Medicare AllowedAmount |
2644.08 |
Total Drug Medicare PaymentAmount |
2500.53 |
Total Drug Medicare Standardized Payment Amount |
2500.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
11367 |
Number Of Medicare Beneficiaries With Medical Services |
1016 |
Total Medical Submitted Charge Amount |
1276015 |
Total Medical Medicare Allowed Amount |
991036.65 |
Total Medical Medicare Payment Amount |
758217.44 |
Total Medical Medicare Standardized Payment Amount |
709073.84 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
279 |
Number Of Beneficiaries Age 75 to 84 |
374 |
Number Of Beneficiaries Age Greater 84 |
277 |
Number Of Female Beneficiaries |
530 |
Number Of Male Beneficiaries |
486 |
Number Of Non Hispanic White Beneficiaries |
37 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
799 |
Number Of Hispanic Beneficiaries |
153 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
103 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
913 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
44 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
27 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.8234 |