National Provider Identifier [NPI]: |
1831185370 |
Last Name Of The Provider |
YEE |
First Name Of The Provider |
BERNE |
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 |
337 E CORONADO RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850041580 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
3902 |
Number Of Medicare Beneficiaries |
730 |
Total Submitted Charge Amount |
668889 |
Total Medicare Allowed Amount |
328043.68 |
Total Medicare Payment Amount |
240717.46 |
Total Medicare Standardized Payment Amount |
254917.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1044 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
24042 |
Total Drug Medicare AllowedAmount |
12015.23 |
Total Drug Medicare PaymentAmount |
9144.56 |
Total Drug Medicare Standardized Payment Amount |
9144.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
2858 |
Number Of Medicare Beneficiaries With Medical Services |
730 |
Total Medical Submitted Charge Amount |
644847 |
Total Medical Medicare Allowed Amount |
316028.45 |
Total Medical Medicare Payment Amount |
231572.9 |
Total Medical Medicare Standardized Payment Amount |
245773.06 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
273 |
Number Of Beneficiaries Age 65 to 74 |
245 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
329 |
Number Of Male Beneficiaries |
401 |
Number Of Non Hispanic White Beneficiaries |
418 |
Number Of Black or African American Beneficiaries |
59 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
145 |
Number Of American Indian Alaska Native Beneficiaries |
92 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
497 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
233 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
4.03 |