National Provider Identifier [NPI]: |
1548253560 |
Last Name Of The Provider |
YARDLEY |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2310 N ED CAREY DR |
Street Address 2 Of The Provider |
1A |
City Of The Provider |
HARLINGEN |
Zip Code Of The Provider |
785508200 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
6226 |
Number Of Medicare Beneficiaries |
1637 |
Total Submitted Charge Amount |
1104752 |
Total Medicare Allowed Amount |
424109.51 |
Total Medicare Payment Amount |
315869.25 |
Total Medicare Standardized Payment Amount |
332777.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
351 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
47970 |
Total Drug Medicare AllowedAmount |
14205.83 |
Total Drug Medicare PaymentAmount |
11137.29 |
Total Drug Medicare Standardized Payment Amount |
11137.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
5875 |
Number Of Medicare Beneficiaries With Medical Services |
1637 |
Total Medical Submitted Charge Amount |
1056782 |
Total Medical Medicare Allowed Amount |
409903.68 |
Total Medical Medicare Payment Amount |
304731.96 |
Total Medical Medicare Standardized Payment Amount |
321640.03 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
243 |
Number Of Beneficiaries Age 65 to 74 |
526 |
Number Of Beneficiaries Age 75 to 84 |
562 |
Number Of Beneficiaries Age Greater 84 |
306 |
Number Of Female Beneficiaries |
859 |
Number Of Male Beneficiaries |
778 |
Number Of Non Hispanic White Beneficiaries |
609 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1009 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
795 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
842 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.4163 |