National Provider Identifier [NPI]: |
1710987672 |
Last Name Of The Provider |
YU |
First Name Of The Provider |
SUJIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6025 METROPOLITAN DR |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
BEAUMONT |
Zip Code Of The Provider |
777062407 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
17726 |
Number Of Medicare Beneficiaries |
784 |
Total Submitted Charge Amount |
3442094.59 |
Total Medicare Allowed Amount |
423417.76 |
Total Medicare Payment Amount |
325662.65 |
Total Medicare Standardized Payment Amount |
325716.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
14878 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
248911 |
Total Drug Medicare AllowedAmount |
136549.16 |
Total Drug Medicare PaymentAmount |
104573.83 |
Total Drug Medicare Standardized Payment Amount |
104573.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2848 |
Number Of Medicare Beneficiaries With Medical Services |
784 |
Total Medical Submitted Charge Amount |
3193183.59 |
Total Medical Medicare Allowed Amount |
286868.6 |
Total Medical Medicare Payment Amount |
221088.82 |
Total Medical Medicare Standardized Payment Amount |
221142.37 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
245 |
Number Of Beneficiaries Age 65 to 74 |
284 |
Number Of Beneficiaries Age 75 to 84 |
187 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
456 |
Number Of Male Beneficiaries |
328 |
Number Of Non Hispanic White Beneficiaries |
645 |
Number Of Black or African American Beneficiaries |
110 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
602 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
182 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3709 |