| National Provider Identifier [NPI]: |
1427094457 |
| Last Name Of The Provider |
YI |
| First Name Of The Provider |
XING |
| 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 |
9505 S STEELE ST |
| Street Address 2 Of The Provider |
|
| City Of The Provider |
TACOMA |
| Zip Code Of The Provider |
984441858 |
| State Code Of The Provider |
WA |
| Country Code Of The Provider |
US |
| Provider Type Of The Provider |
Family Practice |
| Medicare Participation Indicator |
Y |
| Number Of HCPCS |
13 |
| Number Of Services |
79 |
| Number Of Medicare Beneficiaries |
43 |
| Total Submitted Charge Amount |
18604.46 |
| Total Medicare Allowed Amount |
7437.51 |
| Total Medicare Payment Amount |
3890.49 |
| Total Medicare Standardized Payment Amount |
5038.52 |
| Drug Suppress Indicator |
* |
| Number Of HCPCS Associated With Drug Services |
|
| Number Of Drug Services |
|
| Number Of Medicare Beneficiaries With Drug Services |
|
| Total Drug Submitted ChargeAmount |
|
| Total Drug Medicare AllowedAmount |
|
| Total Drug Medicare PaymentAmount |
|
| Total Drug Medicare Standardized Payment Amount |
|
| Medical SuppressIndicator |
# |
| Number Of HCPCS Associated With MedicalServices |
|
| Number Of Medical Services |
|
| Number Of Medicare Beneficiaries With Medical Services |
|
| Total Medical Submitted Charge Amount |
|
| Total Medical Medicare Allowed Amount |
|
| Total Medical Medicare Payment Amount |
|
| Total Medical Medicare Standardized Payment Amount |
|
| Average Age Of Beneficiaries |
70 |
| Number Of Beneficiaries Age Less65 |
|
| Number Of Beneficiaries Age 65 to 74 |
19 |
| Number Of Beneficiaries Age 75 to 84 |
13 |
| Number Of Beneficiaries Age Greater 84 |
|
| Number Of Female Beneficiaries |
27 |
| Number Of Male Beneficiaries |
16 |
| Number Of Non Hispanic White Beneficiaries |
31 |
| Number Of Black or African American Beneficiaries |
|
| Number Of AsianPacific Islander Beneficiaries |
|
| Number Of Hispanic Beneficiaries |
0 |
| Number Of American Indian Alaska Native Beneficiaries |
|
| Number Of Beneficiaries With Race Not Else where Classified |
|
| Number Of Beneficiaries With Medicare Only Entitlement |
|
| Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
| Percent Of With Atrial Fibrillation |
|
| Percent Of With Alzheimers Disease or Dementia |
|
| Percent Of With Asthma |
|
| Percent Of With Cancer |
|
| Percent Of With Heart Failure |
|
| Percent Of With Chronic Kidney Disease |
42 |
| Percent Of With Chronic Obstructive Pulmonary Disease |
|
| Percent Of With Depression |
|
| Percent Of With Diabetes |
37 |
| Percent Of With Hyperlipidemia |
30 |
| Percent Of With Hypertension |
51 |
| Percent Of With Ischemic Heart Disease |
28 |
| Percent Of With Osteoporosis |
|
| Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
| Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
| Percent Of With Stroke |
|
| Average HCC Risk Score Of Beneficiaries |
0.9861 |