National Provider Identifier [NPI]: |
1619965514 |
Last Name Of The Provider |
YANG |
First Name Of The Provider |
LEE |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 E ROLLINS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328031248 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
149 |
Number Of Services |
8058 |
Number Of Medicare Beneficiaries |
4569 |
Total Submitted Charge Amount |
454637.03 |
Total Medicare Allowed Amount |
154191.57 |
Total Medicare Payment Amount |
115147.93 |
Total Medicare Standardized Payment Amount |
115355.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2310 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
1089.15 |
Total Drug Medicare AllowedAmount |
525.98 |
Total Drug Medicare PaymentAmount |
412.35 |
Total Drug Medicare Standardized Payment Amount |
412.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
147 |
Number Of Medical Services |
5748 |
Number Of Medicare Beneficiaries With Medical Services |
4568 |
Total Medical Submitted Charge Amount |
453547.88 |
Total Medical Medicare Allowed Amount |
153665.59 |
Total Medical Medicare Payment Amount |
114735.58 |
Total Medical Medicare Standardized Payment Amount |
114943.28 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
855 |
Number Of Beneficiaries Age 65 to 74 |
1499 |
Number Of Beneficiaries Age 75 to 84 |
1338 |
Number Of Beneficiaries Age Greater 84 |
877 |
Number Of Female Beneficiaries |
2734 |
Number Of Male Beneficiaries |
1835 |
Number Of Non Hispanic White Beneficiaries |
3248 |
Number Of Black or African American Beneficiaries |
463 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
716 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
71 |
Number Of Beneficiaries With Medicare Only Entitlement |
3261 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1308 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.0379 |