National Provider Identifier [NPI]: |
1003808197 |
Last Name Of The Provider |
YI |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
19 VILLAGE SQ |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHELMSFORD |
Zip Code Of The Provider |
018242712 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
2932 |
Number Of Medicare Beneficiaries |
1308 |
Total Submitted Charge Amount |
1309327 |
Total Medicare Allowed Amount |
528693.5 |
Total Medicare Payment Amount |
386027.86 |
Total Medicare Standardized Payment Amount |
367009.45 |
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 |
34 |
Number Of Medical Services |
2932 |
Number Of Medicare Beneficiaries With Medical Services |
1308 |
Total Medical Submitted Charge Amount |
1309327 |
Total Medical Medicare Allowed Amount |
528693.5 |
Total Medical Medicare Payment Amount |
386027.86 |
Total Medical Medicare Standardized Payment Amount |
367009.45 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
531 |
Number Of Beneficiaries Age 75 to 84 |
425 |
Number Of Beneficiaries Age Greater 84 |
209 |
Number Of Female Beneficiaries |
814 |
Number Of Male Beneficiaries |
494 |
Number Of Non Hispanic White Beneficiaries |
1143 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
77 |
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1012 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
296 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.155 |