National Provider Identifier [NPI]: |
1871708867 |
Last Name Of The Provider |
YAN |
First Name Of The Provider |
MEIJUAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2112 HARRISBURG PIKE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
176012644 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
1165 |
Number Of Medicare Beneficiaries |
361 |
Total Submitted Charge Amount |
170877 |
Total Medicare Allowed Amount |
85132.51 |
Total Medicare Payment Amount |
60431.33 |
Total Medicare Standardized Payment Amount |
65027.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
491 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
27032 |
Total Drug Medicare AllowedAmount |
14266.44 |
Total Drug Medicare PaymentAmount |
10952.02 |
Total Drug Medicare Standardized Payment Amount |
10952.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
12 |
Number Of Medical Services |
674 |
Number Of Medicare Beneficiaries With Medical Services |
361 |
Total Medical Submitted Charge Amount |
143845 |
Total Medical Medicare Allowed Amount |
70866.07 |
Total Medical Medicare Payment Amount |
49479.31 |
Total Medical Medicare Standardized Payment Amount |
54075.77 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
163 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
259 |
Number Of Male Beneficiaries |
102 |
Number Of Non Hispanic White Beneficiaries |
328 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
317 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3036 |