National Provider Identifier [NPI]: |
1932426327 |
Last Name Of The Provider |
YAO-LEE |
First Name Of The Provider |
ALICE |
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 |
1653 W CONGRESS PARKWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
60612 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
172 |
Number Of Services |
4846 |
Number Of Medicare Beneficiaries |
2988 |
Total Submitted Charge Amount |
777552 |
Total Medicare Allowed Amount |
171669.24 |
Total Medicare Payment Amount |
126583.63 |
Total Medicare Standardized Payment Amount |
120995.16 |
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 |
172 |
Number Of Medical Services |
4846 |
Number Of Medicare Beneficiaries With Medical Services |
2988 |
Total Medical Submitted Charge Amount |
777552 |
Total Medical Medicare Allowed Amount |
171669.24 |
Total Medical Medicare Payment Amount |
126583.63 |
Total Medical Medicare Standardized Payment Amount |
120995.16 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
349 |
Number Of Beneficiaries Age 65 to 74 |
1034 |
Number Of Beneficiaries Age 75 to 84 |
937 |
Number Of Beneficiaries Age Greater 84 |
668 |
Number Of Female Beneficiaries |
1960 |
Number Of Male Beneficiaries |
1028 |
Number Of Non Hispanic White Beneficiaries |
2532 |
Number Of Black or African American Beneficiaries |
172 |
Number Of AsianPacific Islander Beneficiaries |
106 |
Number Of Hispanic Beneficiaries |
138 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2414 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
574 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7464 |