National Provider Identifier [NPI]: |
1558484238 |
Last Name Of The Provider |
YOUNG |
First Name Of The Provider |
ERIK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1255 HILYARD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
EUGENE |
Zip Code Of The Provider |
97401 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
168 |
Number Of Services |
16070 |
Number Of Medicare Beneficiaries |
3100 |
Total Submitted Charge Amount |
943158.39 |
Total Medicare Allowed Amount |
230320.06 |
Total Medicare Payment Amount |
176507.95 |
Total Medicare Standardized Payment Amount |
184864.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
10939 |
Number Of Medicare Beneficiaries With Drug Services |
133 |
Total Drug Submitted ChargeAmount |
36243 |
Total Drug Medicare AllowedAmount |
3075.51 |
Total Drug Medicare PaymentAmount |
2278.67 |
Total Drug Medicare Standardized Payment Amount |
2278.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
159 |
Number Of Medical Services |
5131 |
Number Of Medicare Beneficiaries With Medical Services |
3100 |
Total Medical Submitted Charge Amount |
906915.39 |
Total Medical Medicare Allowed Amount |
227244.55 |
Total Medical Medicare Payment Amount |
174229.28 |
Total Medical Medicare Standardized Payment Amount |
182586.12 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
527 |
Number Of Beneficiaries Age 65 to 74 |
1293 |
Number Of Beneficiaries Age 75 to 84 |
839 |
Number Of Beneficiaries Age Greater 84 |
441 |
Number Of Female Beneficiaries |
1844 |
Number Of Male Beneficiaries |
1256 |
Number Of Non Hispanic White Beneficiaries |
2928 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
44 |
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
2409 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
691 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.419 |