National Provider Identifier [NPI]: |
1992741938 |
Last Name Of The Provider |
YAN |
First Name Of The Provider |
JIONG |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1365B CLIFTON RD NE |
Street Address 2 Of The Provider |
BUILDING B RM 2401 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
30322 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
3726 |
Number Of Medicare Beneficiaries |
731 |
Total Submitted Charge Amount |
1506352 |
Total Medicare Allowed Amount |
501450.75 |
Total Medicare Payment Amount |
375035.4 |
Total Medicare Standardized Payment Amount |
377732.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
977 |
Number Of Medicare Beneficiaries With Drug Services |
204 |
Total Drug Submitted ChargeAmount |
492498 |
Total Drug Medicare AllowedAmount |
178713.65 |
Total Drug Medicare PaymentAmount |
138449.48 |
Total Drug Medicare Standardized Payment Amount |
138449.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2749 |
Number Of Medicare Beneficiaries With Medical Services |
731 |
Total Medical Submitted Charge Amount |
1013854 |
Total Medical Medicare Allowed Amount |
322737.1 |
Total Medical Medicare Payment Amount |
236585.92 |
Total Medical Medicare Standardized Payment Amount |
239282.7 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
230 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
441 |
Number Of Male Beneficiaries |
290 |
Number Of Non Hispanic White Beneficiaries |
532 |
Number Of Black or African American Beneficiaries |
152 |
Number Of AsianPacific Islander Beneficiaries |
21 |
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 |
598 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
133 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6767 |