| National Provider Identifier [NPI]: | 1801154521 |
| Last Name Of The Provider | TAMBA |
| First Name Of The Provider | YASUKO |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MSN, RN, CRNP, APN |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 600 CLEMENTS BRIDGE RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BARRINGTON |
| Zip Code Of The Provider | 080071814 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Nurse Practitioner |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 15 |
| Number Of Services | 4212 |
| Number Of Medicare Beneficiaries | 1204 |
| Total Submitted Charge Amount | 387933.6 |
| Total Medicare Allowed Amount | 270028.91 |
| Total Medicare Payment Amount | 206809.22 |
| Total Medicare Standardized Payment Amount | 231363.52 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 15 |
| Number Of Medical Services | 4212 |
| Number Of Medicare Beneficiaries With Medical Services | 1204 |
| Total Medical Submitted Charge Amount | 387933.6 |
| Total Medical Medicare Allowed Amount | 270028.91 |
| Total Medical Medicare Payment Amount | 206809.22 |
| Total Medical Medicare Standardized Payment Amount | 231363.52 |
| Average Age Of Beneficiaries | 80 |
| Number Of Beneficiaries Age Less65 | 131 |
| Number Of Beneficiaries Age 65 to 74 | 241 |
| Number Of Beneficiaries Age 75 to 84 | 344 |
| Number Of Beneficiaries Age Greater 84 | 488 |
| Number Of Female Beneficiaries | 708 |
| Number Of Male Beneficiaries | 496 |
| Number Of Non Hispanic White Beneficiaries | 825 |
| Number Of Black or African American Beneficiaries | 318 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 44 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 430 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 774 |
| Percent Of With Atrial Fibrillation | 28 |
| Percent Of With Alzheimers Disease or Dementia | 72 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 58 |
| Percent Of With Chronic Kidney Disease | 54 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 45 |
| Percent Of With Diabetes | 55 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 71 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 21 |
| Percent Of With Stroke | 21 |
| Average HCC Risk Score Of Beneficiaries | 3.168 |