National Provider Identifier [NPI]: |
1043418619 |
Last Name Of The Provider |
YEUNG |
First Name Of The Provider |
ANNA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
22921 TRITON WAY STE 125 |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAGUNA HILLS |
Zip Code Of The Provider |
926531236 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Geriatric Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
602 |
Number Of Medicare Beneficiaries |
157 |
Total Submitted Charge Amount |
103737.61 |
Total Medicare Allowed Amount |
74409.83 |
Total Medicare Payment Amount |
55414.97 |
Total Medicare Standardized Payment Amount |
50822.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
36 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
1198 |
Total Drug Medicare AllowedAmount |
861.15 |
Total Drug Medicare PaymentAmount |
843.85 |
Total Drug Medicare Standardized Payment Amount |
843.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
566 |
Number Of Medicare Beneficiaries With Medical Services |
157 |
Total Medical Submitted Charge Amount |
102539.61 |
Total Medical Medicare Allowed Amount |
73548.68 |
Total Medical Medicare Payment Amount |
54571.12 |
Total Medical Medicare Standardized Payment Amount |
49978.59 |
Average Age Of Beneficiaries |
87 |
Number Of Beneficiaries Age Less65 |
0 |
Number Of Beneficiaries Age 65 to 74 |
14 |
Number Of Beneficiaries Age 75 to 84 |
39 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
107 |
Number Of Male Beneficiaries |
50 |
Number Of Non Hispanic White Beneficiaries |
143 |
Number Of Black or African American Beneficiaries |
|
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 |
146 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
75 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9296 |