National Provider Identifier [NPI]: |
1720032493 |
Last Name Of The Provider |
YOCUM |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
940 CUMBERLAND ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEBANON |
Zip Code Of The Provider |
17042 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
5206 |
Number Of Medicare Beneficiaries |
616 |
Total Submitted Charge Amount |
338297.27 |
Total Medicare Allowed Amount |
320039.41 |
Total Medicare Payment Amount |
228563.88 |
Total Medicare Standardized Payment Amount |
241768.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
385 |
Number Of Medicare Beneficiaries With Drug Services |
333 |
Total Drug Submitted ChargeAmount |
20392 |
Total Drug Medicare AllowedAmount |
12786.58 |
Total Drug Medicare PaymentAmount |
12529.22 |
Total Drug Medicare Standardized Payment Amount |
12529.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
4821 |
Number Of Medicare Beneficiaries With Medical Services |
616 |
Total Medical Submitted Charge Amount |
317905.27 |
Total Medical Medicare Allowed Amount |
307252.83 |
Total Medical Medicare Payment Amount |
216034.66 |
Total Medical Medicare Standardized Payment Amount |
229238.87 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
215 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
369 |
Number Of Male Beneficiaries |
247 |
Number Of Non Hispanic White Beneficiaries |
597 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
543 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
2 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.1734 |