National Provider Identifier [NPI]: |
1508056680 |
Last Name Of The Provider |
YAN |
First Name Of The Provider |
YIJUN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
912 THIRD STREET |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
GREENSBORO |
Zip Code Of The Provider |
274056967 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
19558 |
Number Of Medicare Beneficiaries |
449 |
Total Submitted Charge Amount |
463005.5 |
Total Medicare Allowed Amount |
205779.75 |
Total Medicare Payment Amount |
153091.42 |
Total Medicare Standardized Payment Amount |
158655.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
18661 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
197663 |
Total Drug Medicare AllowedAmount |
95645.26 |
Total Drug Medicare PaymentAmount |
73398.58 |
Total Drug Medicare Standardized Payment Amount |
73398.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
897 |
Number Of Medicare Beneficiaries With Medical Services |
449 |
Total Medical Submitted Charge Amount |
265342.5 |
Total Medical Medicare Allowed Amount |
110134.49 |
Total Medical Medicare Payment Amount |
79692.84 |
Total Medical Medicare Standardized Payment Amount |
85256.97 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
153 |
Number Of Beneficiaries Age 75 to 84 |
127 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
282 |
Number Of Male Beneficiaries |
167 |
Number Of Non Hispanic White Beneficiaries |
326 |
Number Of Black or African American Beneficiaries |
112 |
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 |
328 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.2518 |