National Provider Identifier [NPI]: |
1780685149 |
Last Name Of The Provider |
YOST |
First Name Of The Provider |
KATHLEEN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
145 MICHIGAN ST NE |
Street Address 2 Of The Provider |
SUITE 3100 |
City Of The Provider |
GRAND RAPIDS |
Zip Code Of The Provider |
495032562 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
148 |
Number Of Services |
85161 |
Number Of Medicare Beneficiaries |
440 |
Total Submitted Charge Amount |
2580773.6 |
Total Medicare Allowed Amount |
1586013.19 |
Total Medicare Payment Amount |
1239217.13 |
Total Medicare Standardized Payment Amount |
1243640.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
60 |
Number Of Drug Services |
79613 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
2131034.8 |
Total Drug Medicare AllowedAmount |
1346468.02 |
Total Drug Medicare PaymentAmount |
1051933.52 |
Total Drug Medicare Standardized Payment Amount |
1051933.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
5548 |
Number Of Medicare Beneficiaries With Medical Services |
439 |
Total Medical Submitted Charge Amount |
449738.8 |
Total Medical Medicare Allowed Amount |
239545.17 |
Total Medical Medicare Payment Amount |
187283.61 |
Total Medical Medicare Standardized Payment Amount |
191707.21 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
124 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
273 |
Number Of Male Beneficiaries |
167 |
Number Of Non Hispanic White Beneficiaries |
402 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
365 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
75 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
63 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.9057 |