National Provider Identifier [NPI]: |
1902804081 |
Last Name Of The Provider |
YOKEN |
First Name Of The Provider |
JONATHAN |
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 |
10819 SE STARK ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
PORTLAND |
Zip Code Of The Provider |
972163161 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
9683.2 |
Number Of Medicare Beneficiaries |
612 |
Total Submitted Charge Amount |
2970317 |
Total Medicare Allowed Amount |
1566017.16 |
Total Medicare Payment Amount |
1203897.31 |
Total Medicare Standardized Payment Amount |
1193268.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
4945.2 |
Number Of Medicare Beneficiaries With Drug Services |
270 |
Total Drug Submitted ChargeAmount |
1711116 |
Total Drug Medicare AllowedAmount |
1089847.7 |
Total Drug Medicare PaymentAmount |
854256.36 |
Total Drug Medicare Standardized Payment Amount |
854256.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
4738 |
Number Of Medicare Beneficiaries With Medical Services |
612 |
Total Medical Submitted Charge Amount |
1259201 |
Total Medical Medicare Allowed Amount |
476169.46 |
Total Medical Medicare Payment Amount |
349640.95 |
Total Medical Medicare Standardized Payment Amount |
339011.85 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
165 |
Number Of Beneficiaries Age 75 to 84 |
182 |
Number Of Beneficiaries Age Greater 84 |
201 |
Number Of Female Beneficiaries |
366 |
Number Of Male Beneficiaries |
246 |
Number Of Non Hispanic White Beneficiaries |
560 |
Number Of Black or African American Beneficiaries |
|
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
534 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5206 |