National Provider Identifier [NPI]: |
1821254830 |
Last Name Of The Provider |
YEH |
First Name Of The Provider |
RICK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2020 PALOMINO LANE |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891064894 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
265 |
Number Of Services |
10610 |
Number Of Medicare Beneficiaries |
2320 |
Total Submitted Charge Amount |
924729.27 |
Total Medicare Allowed Amount |
227875.76 |
Total Medicare Payment Amount |
172338.31 |
Total Medicare Standardized Payment Amount |
168477.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
7244 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
21117.58 |
Total Drug Medicare AllowedAmount |
1434.05 |
Total Drug Medicare PaymentAmount |
1118.79 |
Total Drug Medicare Standardized Payment Amount |
1118.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
259 |
Number Of Medical Services |
3366 |
Number Of Medicare Beneficiaries With Medical Services |
2319 |
Total Medical Submitted Charge Amount |
903611.69 |
Total Medical Medicare Allowed Amount |
226441.71 |
Total Medical Medicare Payment Amount |
171219.52 |
Total Medical Medicare Standardized Payment Amount |
167358.53 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
493 |
Number Of Beneficiaries Age 65 to 74 |
896 |
Number Of Beneficiaries Age 75 to 84 |
648 |
Number Of Beneficiaries Age Greater 84 |
283 |
Number Of Female Beneficiaries |
1214 |
Number Of Male Beneficiaries |
1106 |
Number Of Non Hispanic White Beneficiaries |
1615 |
Number Of Black or African American Beneficiaries |
314 |
Number Of AsianPacific Islander Beneficiaries |
112 |
Number Of Hispanic Beneficiaries |
224 |
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
43 |
Number Of Beneficiaries With Medicare Only Entitlement |
1691 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
629 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.1869 |