National Provider Identifier [NPI]: |
1427248319 |
Last Name Of The Provider |
WANG |
First Name Of The Provider |
YI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1661 HANOVER RD |
Street Address 2 Of The Provider |
#201 |
City Of The Provider |
CITY OF INDUSTRY |
Zip Code Of The Provider |
917481733 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
8512 |
Number Of Medicare Beneficiaries |
648 |
Total Submitted Charge Amount |
1040505 |
Total Medicare Allowed Amount |
757756.07 |
Total Medicare Payment Amount |
593684.69 |
Total Medicare Standardized Payment Amount |
554265.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
989 |
Number Of Medicare Beneficiaries With Drug Services |
315 |
Total Drug Submitted ChargeAmount |
49030 |
Total Drug Medicare AllowedAmount |
26929.95 |
Total Drug Medicare PaymentAmount |
21884.5 |
Total Drug Medicare Standardized Payment Amount |
21884.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
7523 |
Number Of Medicare Beneficiaries With Medical Services |
648 |
Total Medical Submitted Charge Amount |
991475 |
Total Medical Medicare Allowed Amount |
730826.12 |
Total Medical Medicare Payment Amount |
571800.19 |
Total Medical Medicare Standardized Payment Amount |
532380.9 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
195 |
Number Of Beneficiaries Age 75 to 84 |
271 |
Number Of Beneficiaries Age Greater 84 |
158 |
Number Of Female Beneficiaries |
391 |
Number Of Male Beneficiaries |
257 |
Number Of Non Hispanic White Beneficiaries |
39 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
545 |
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
86 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
562 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
33 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5108 |