National Provider Identifier [NPI]: |
1891805057 |
Last Name Of The Provider |
YUNGMANN |
First Name Of The Provider |
MARTIN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1565 SAXON BLVD STE 103 |
Street Address 2 Of The Provider |
|
City Of The Provider |
DELTONA |
Zip Code Of The Provider |
327255823 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
7588 |
Number Of Medicare Beneficiaries |
1716 |
Total Submitted Charge Amount |
837358 |
Total Medicare Allowed Amount |
446889.24 |
Total Medicare Payment Amount |
324552.21 |
Total Medicare Standardized Payment Amount |
329587.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
40 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
2185 |
Total Drug Medicare AllowedAmount |
1750.48 |
Total Drug Medicare PaymentAmount |
1355.16 |
Total Drug Medicare Standardized Payment Amount |
1355.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
7548 |
Number Of Medicare Beneficiaries With Medical Services |
1716 |
Total Medical Submitted Charge Amount |
835173 |
Total Medical Medicare Allowed Amount |
445138.76 |
Total Medical Medicare Payment Amount |
323197.05 |
Total Medical Medicare Standardized Payment Amount |
328231.86 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
764 |
Number Of Beneficiaries Age 75 to 84 |
551 |
Number Of Beneficiaries Age Greater 84 |
279 |
Number Of Female Beneficiaries |
893 |
Number Of Male Beneficiaries |
823 |
Number Of Non Hispanic White Beneficiaries |
1548 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
106 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1575 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
141 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1654 |