National Provider Identifier [NPI]: |
1306856463 |
Last Name Of The Provider |
YOELSON |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
52 PECK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TORRINGTON |
Zip Code Of The Provider |
067906107 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
140 |
Number Of Services |
7860 |
Number Of Medicare Beneficiaries |
864 |
Total Submitted Charge Amount |
612344.02 |
Total Medicare Allowed Amount |
356735.55 |
Total Medicare Payment Amount |
273612.01 |
Total Medicare Standardized Payment Amount |
259384.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
305 |
Number Of Medicare Beneficiaries With Drug Services |
208 |
Total Drug Submitted ChargeAmount |
12334.02 |
Total Drug Medicare AllowedAmount |
9868.14 |
Total Drug Medicare PaymentAmount |
9494.04 |
Total Drug Medicare Standardized Payment Amount |
9494.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
133 |
Number Of Medical Services |
7555 |
Number Of Medicare Beneficiaries With Medical Services |
864 |
Total Medical Submitted Charge Amount |
600010 |
Total Medical Medicare Allowed Amount |
346867.41 |
Total Medical Medicare Payment Amount |
264117.97 |
Total Medical Medicare Standardized Payment Amount |
249890.81 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
223 |
Number Of Beneficiaries Age 75 to 84 |
231 |
Number Of Beneficiaries Age Greater 84 |
289 |
Number Of Female Beneficiaries |
530 |
Number Of Male Beneficiaries |
334 |
Number Of Non Hispanic White Beneficiaries |
829 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
440 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
424 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5445 |