National Provider Identifier [NPI]: |
1639172174 |
Last Name Of The Provider |
YAMAMOTO |
First Name Of The Provider |
JOSHUA |
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 |
5530 WISCONSIN AVE |
Street Address 2 Of The Provider |
SUITE 515 |
City Of The Provider |
CHEVY CHASE |
Zip Code Of The Provider |
208154404 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
4982 |
Number Of Medicare Beneficiaries |
886 |
Total Submitted Charge Amount |
668742.84 |
Total Medicare Allowed Amount |
617919.63 |
Total Medicare Payment Amount |
469267.17 |
Total Medicare Standardized Payment Amount |
420941.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
16 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
152.28 |
Total Drug Medicare AllowedAmount |
137.28 |
Total Drug Medicare PaymentAmount |
134.56 |
Total Drug Medicare Standardized Payment Amount |
134.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
4966 |
Number Of Medicare Beneficiaries With Medical Services |
886 |
Total Medical Submitted Charge Amount |
668590.56 |
Total Medical Medicare Allowed Amount |
617782.35 |
Total Medical Medicare Payment Amount |
469132.61 |
Total Medical Medicare Standardized Payment Amount |
420806.62 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
280 |
Number Of Beneficiaries Age 75 to 84 |
336 |
Number Of Beneficiaries Age Greater 84 |
250 |
Number Of Female Beneficiaries |
504 |
Number Of Male Beneficiaries |
382 |
Number Of Non Hispanic White Beneficiaries |
756 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
828 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2909 |