National Provider Identifier [NPI]: |
1689656472 |
Last Name Of The Provider |
DO |
First Name Of The Provider |
YENA |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2211 MASSACHUSETTS AVE |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
CAMBRIDGE |
Zip Code Of The Provider |
021401211 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
855 |
Number Of Medicare Beneficiaries |
220 |
Total Submitted Charge Amount |
164323 |
Total Medicare Allowed Amount |
68945.05 |
Total Medicare Payment Amount |
48883.41 |
Total Medicare Standardized Payment Amount |
47001.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
43 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
387 |
Total Drug Medicare AllowedAmount |
5.41 |
Total Drug Medicare PaymentAmount |
4.24 |
Total Drug Medicare Standardized Payment Amount |
4.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
812 |
Number Of Medicare Beneficiaries With Medical Services |
220 |
Total Medical Submitted Charge Amount |
163936 |
Total Medical Medicare Allowed Amount |
68939.64 |
Total Medical Medicare Payment Amount |
48879.17 |
Total Medical Medicare Standardized Payment Amount |
46997.34 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
113 |
Number Of Beneficiaries Age 75 to 84 |
44 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
142 |
Number Of Male Beneficiaries |
78 |
Number Of Non Hispanic White Beneficiaries |
198 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
174 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1152 |