National Provider Identifier [NPI]: |
1295889798 |
Last Name Of The Provider |
YONEMURA |
First Name Of The Provider |
GLENN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3221 WAIALAE AVE |
Street Address 2 Of The Provider |
SUITE 382 |
City Of The Provider |
HONOLULU |
Zip Code Of The Provider |
968165842 |
State Code Of The Provider |
HI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
1689 |
Number Of Medicare Beneficiaries |
300 |
Total Submitted Charge Amount |
109372.8 |
Total Medicare Allowed Amount |
83753.18 |
Total Medicare Payment Amount |
53427.72 |
Total Medicare Standardized Payment Amount |
51317.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
98 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
2329.75 |
Total Drug Medicare AllowedAmount |
1640.7 |
Total Drug Medicare PaymentAmount |
1607.72 |
Total Drug Medicare Standardized Payment Amount |
1607.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
1591 |
Number Of Medicare Beneficiaries With Medical Services |
300 |
Total Medical Submitted Charge Amount |
107043.05 |
Total Medical Medicare Allowed Amount |
82112.48 |
Total Medical Medicare Payment Amount |
51820 |
Total Medical Medicare Standardized Payment Amount |
49709.72 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
105 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
192 |
Number Of Male Beneficiaries |
108 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
239 |
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 |
282 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
|
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
5 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
15 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.8539 |