National Provider Identifier [NPI]: |
1710197447 |
Last Name Of The Provider |
YATES |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1700 N ROSE AVE |
Street Address 2 Of The Provider |
SUITE 320 |
City Of The Provider |
OXNARD |
Zip Code Of The Provider |
930303790 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
434159 |
Number Of Medicare Beneficiaries |
591 |
Total Submitted Charge Amount |
7617273.31 |
Total Medicare Allowed Amount |
3671007.38 |
Total Medicare Payment Amount |
2882395.13 |
Total Medicare Standardized Payment Amount |
2821505.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
75 |
Number Of Drug Services |
384641 |
Number Of Medicare Beneficiaries With Drug Services |
207 |
Total Drug Submitted ChargeAmount |
6363766.01 |
Total Drug Medicare AllowedAmount |
2941805.75 |
Total Drug Medicare PaymentAmount |
2305792.9 |
Total Drug Medicare Standardized Payment Amount |
2305792.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
49518 |
Number Of Medicare Beneficiaries With Medical Services |
591 |
Total Medical Submitted Charge Amount |
1253507.3 |
Total Medical Medicare Allowed Amount |
729201.63 |
Total Medical Medicare Payment Amount |
576602.23 |
Total Medical Medicare Standardized Payment Amount |
515712.13 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
200 |
Number Of Beneficiaries Age 75 to 84 |
226 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
317 |
Number Of Male Beneficiaries |
274 |
Number Of Non Hispanic White Beneficiaries |
405 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
138 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
465 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
31 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.1486 |