National Provider Identifier [NPI]: |
1316965353 |
Last Name Of The Provider |
YASKIN |
First Name Of The Provider |
INNA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
INC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
515 SOUTH DR |
Street Address 2 Of The Provider |
SUITE 12 |
City Of The Provider |
MOUNTAIN VIEW |
Zip Code Of The Provider |
940404204 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
5489 |
Number Of Medicare Beneficiaries |
573 |
Total Submitted Charge Amount |
786276 |
Total Medicare Allowed Amount |
493827.15 |
Total Medicare Payment Amount |
371827.2 |
Total Medicare Standardized Payment Amount |
319158.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
295 |
Number Of Medicare Beneficiaries With Drug Services |
179 |
Total Drug Submitted ChargeAmount |
11810 |
Total Drug Medicare AllowedAmount |
7443.91 |
Total Drug Medicare PaymentAmount |
7258.93 |
Total Drug Medicare Standardized Payment Amount |
7258.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
5194 |
Number Of Medicare Beneficiaries With Medical Services |
572 |
Total Medical Submitted Charge Amount |
774466 |
Total Medical Medicare Allowed Amount |
486383.24 |
Total Medical Medicare Payment Amount |
364568.27 |
Total Medical Medicare Standardized Payment Amount |
311899.94 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
184 |
Number Of Beneficiaries Age 75 to 84 |
176 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
373 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
423 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
83 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
350 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
223 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5588 |