National Provider Identifier [NPI]: |
1407010705 |
Last Name Of The Provider |
YANG |
First Name Of The Provider |
WEI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
77 HERRICK ST STE 101 |
Street Address 2 Of The Provider |
THE MEDICAL GROUP INC |
City Of The Provider |
BEVERLY |
Zip Code Of The Provider |
019153012 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
145 |
Number Of Services |
4711 |
Number Of Medicare Beneficiaries |
536 |
Total Submitted Charge Amount |
225437.04 |
Total Medicare Allowed Amount |
168401.42 |
Total Medicare Payment Amount |
139146.38 |
Total Medicare Standardized Payment Amount |
137893.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
251 |
Number Of Medicare Beneficiaries With Drug Services |
179 |
Total Drug Submitted ChargeAmount |
15522.04 |
Total Drug Medicare AllowedAmount |
12001.92 |
Total Drug Medicare PaymentAmount |
11704.83 |
Total Drug Medicare Standardized Payment Amount |
11704.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
135 |
Number Of Medical Services |
4460 |
Number Of Medicare Beneficiaries With Medical Services |
536 |
Total Medical Submitted Charge Amount |
209915 |
Total Medical Medicare Allowed Amount |
156399.5 |
Total Medical Medicare Payment Amount |
127441.55 |
Total Medical Medicare Standardized Payment Amount |
126188.83 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
186 |
Number Of Beneficiaries Age 75 to 84 |
177 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
362 |
Number Of Male Beneficiaries |
174 |
Number Of Non Hispanic White Beneficiaries |
511 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
443 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1887 |