National Provider Identifier [NPI]: |
1215990445 |
Last Name Of The Provider |
YANG |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1208 SUNCAST LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
EL DORADO HILLS |
Zip Code Of The Provider |
957629631 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
15975 |
Number Of Medicare Beneficiaries |
555 |
Total Submitted Charge Amount |
1889383 |
Total Medicare Allowed Amount |
971359.45 |
Total Medicare Payment Amount |
753416.63 |
Total Medicare Standardized Payment Amount |
717890.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
7299 |
Number Of Medicare Beneficiaries With Drug Services |
368 |
Total Drug Submitted ChargeAmount |
65063 |
Total Drug Medicare AllowedAmount |
29408.81 |
Total Drug Medicare PaymentAmount |
22904.84 |
Total Drug Medicare Standardized Payment Amount |
22904.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
8676 |
Number Of Medicare Beneficiaries With Medical Services |
555 |
Total Medical Submitted Charge Amount |
1824320 |
Total Medical Medicare Allowed Amount |
941950.64 |
Total Medical Medicare Payment Amount |
730511.79 |
Total Medical Medicare Standardized Payment Amount |
694985.22 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
226 |
Number Of Beneficiaries Age 65 to 74 |
180 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
334 |
Number Of Male Beneficiaries |
221 |
Number Of Non Hispanic White Beneficiaries |
491 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
339 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
216 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3299 |