National Provider Identifier [NPI]: |
1144409145 |
Last Name Of The Provider |
YURKANIN |
First Name Of The Provider |
J |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5240 E. KNIGHT DRIVE |
Street Address 2 Of The Provider |
SUITE 108 |
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857122122 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
3092 |
Number Of Medicare Beneficiaries |
683 |
Total Submitted Charge Amount |
780645 |
Total Medicare Allowed Amount |
298804.35 |
Total Medicare Payment Amount |
217959.68 |
Total Medicare Standardized Payment Amount |
221688.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
263 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
195053 |
Total Drug Medicare AllowedAmount |
50596.22 |
Total Drug Medicare PaymentAmount |
38553.65 |
Total Drug Medicare Standardized Payment Amount |
38553.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
2829 |
Number Of Medicare Beneficiaries With Medical Services |
683 |
Total Medical Submitted Charge Amount |
585592 |
Total Medical Medicare Allowed Amount |
248208.13 |
Total Medical Medicare Payment Amount |
179406.03 |
Total Medical Medicare Standardized Payment Amount |
183135.34 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
287 |
Number Of Beneficiaries Age 75 to 84 |
261 |
Number Of Beneficiaries Age Greater 84 |
117 |
Number Of Female Beneficiaries |
78 |
Number Of Male Beneficiaries |
605 |
Number Of Non Hispanic White Beneficiaries |
626 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
672 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0963 |