National Provider Identifier [NPI]: |
1649271115 |
Last Name Of The Provider |
YASHINSKY |
First Name Of The Provider |
GARY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
29355 NORTHWESTERN HWY |
Street Address 2 Of The Provider |
STE. 120 |
City Of The Provider |
SOUTHFIELD |
Zip Code Of The Provider |
480341053 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
2622 |
Number Of Medicare Beneficiaries |
510 |
Total Submitted Charge Amount |
217250 |
Total Medicare Allowed Amount |
157701.63 |
Total Medicare Payment Amount |
116832.27 |
Total Medicare Standardized Payment Amount |
114999.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
264 |
Number Of Medicare Beneficiaries With Drug Services |
178 |
Total Drug Submitted ChargeAmount |
8671 |
Total Drug Medicare AllowedAmount |
5788.39 |
Total Drug Medicare PaymentAmount |
5637.05 |
Total Drug Medicare Standardized Payment Amount |
5637.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2358 |
Number Of Medicare Beneficiaries With Medical Services |
509 |
Total Medical Submitted Charge Amount |
208579 |
Total Medical Medicare Allowed Amount |
151913.24 |
Total Medical Medicare Payment Amount |
111195.22 |
Total Medical Medicare Standardized Payment Amount |
109362.33 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
205 |
Number Of Beneficiaries Age 75 to 84 |
116 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
305 |
Number Of Male Beneficiaries |
205 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
254 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
417 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2749 |