National Provider Identifier [NPI]: |
1649372756 |
Last Name Of The Provider |
YANG |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
406 E ROWAN AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SPOKANE |
Zip Code Of The Provider |
992071201 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
6606 |
Number Of Medicare Beneficiaries |
516 |
Total Submitted Charge Amount |
264238.6 |
Total Medicare Allowed Amount |
255996.34 |
Total Medicare Payment Amount |
196232.31 |
Total Medicare Standardized Payment Amount |
199419.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
105 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
1959.05 |
Total Drug Medicare AllowedAmount |
1866.4 |
Total Drug Medicare PaymentAmount |
1818.47 |
Total Drug Medicare Standardized Payment Amount |
1818.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
6501 |
Number Of Medicare Beneficiaries With Medical Services |
516 |
Total Medical Submitted Charge Amount |
262279.55 |
Total Medical Medicare Allowed Amount |
254129.94 |
Total Medical Medicare Payment Amount |
194413.84 |
Total Medical Medicare Standardized Payment Amount |
197600.87 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
206 |
Number Of Beneficiaries Age 75 to 84 |
200 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
276 |
Number Of Male Beneficiaries |
240 |
Number Of Non Hispanic White Beneficiaries |
485 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
492 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9491 |