National Provider Identifier [NPI]: |
1750488649 |
Last Name Of The Provider |
YEN |
First Name Of The Provider |
AN |
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 |
1495 RIVER PARK DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958154500 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
2963 |
Number Of Medicare Beneficiaries |
561 |
Total Submitted Charge Amount |
469553.95 |
Total Medicare Allowed Amount |
255169.43 |
Total Medicare Payment Amount |
188183.83 |
Total Medicare Standardized Payment Amount |
174411.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
316 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
3288 |
Total Drug Medicare AllowedAmount |
1346.45 |
Total Drug Medicare PaymentAmount |
818.67 |
Total Drug Medicare Standardized Payment Amount |
818.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
2647 |
Number Of Medicare Beneficiaries With Medical Services |
561 |
Total Medical Submitted Charge Amount |
466265.95 |
Total Medical Medicare Allowed Amount |
253822.98 |
Total Medical Medicare Payment Amount |
187365.16 |
Total Medical Medicare Standardized Payment Amount |
173593.07 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
261 |
Number Of Beneficiaries Age 75 to 84 |
146 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
256 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
394 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
78 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
347 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
214 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0587 |