National Provider Identifier [NPI]: |
1962588988 |
Last Name Of The Provider |
YAMADA |
First Name Of The Provider |
ELINA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
24 FRANK LLOYD WRIGHT DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANN ARBOR |
Zip Code Of The Provider |
481059484 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
3171 |
Number Of Medicare Beneficiaries |
2139 |
Total Submitted Charge Amount |
490919 |
Total Medicare Allowed Amount |
90715.76 |
Total Medicare Payment Amount |
66528.19 |
Total Medicare Standardized Payment Amount |
64892.51 |
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 |
25 |
Number Of Medical Services |
3171 |
Number Of Medicare Beneficiaries With Medical Services |
2139 |
Total Medical Submitted Charge Amount |
490919 |
Total Medical Medicare Allowed Amount |
90715.76 |
Total Medical Medicare Payment Amount |
66528.19 |
Total Medical Medicare Standardized Payment Amount |
64892.51 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
526 |
Number Of Beneficiaries Age 65 to 74 |
847 |
Number Of Beneficiaries Age 75 to 84 |
533 |
Number Of Beneficiaries Age Greater 84 |
233 |
Number Of Female Beneficiaries |
1056 |
Number Of Male Beneficiaries |
1083 |
Number Of Non Hispanic White Beneficiaries |
1773 |
Number Of Black or African American Beneficiaries |
244 |
Number Of AsianPacific Islander Beneficiaries |
55 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
1639 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
500 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.1934 |