National Provider Identifier [NPI]: |
1669405114 |
Last Name Of The Provider |
YEE |
First Name Of The Provider |
MARGARET |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
40124 HIGHWAY 27 STE 104 |
Street Address 2 Of The Provider |
|
City Of The Provider |
DAVENPORT |
Zip Code Of The Provider |
338375905 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
3806 |
Number Of Medicare Beneficiaries |
478 |
Total Submitted Charge Amount |
377281 |
Total Medicare Allowed Amount |
210203.58 |
Total Medicare Payment Amount |
157264.25 |
Total Medicare Standardized Payment Amount |
158102.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
186 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
7295 |
Total Drug Medicare AllowedAmount |
4705.43 |
Total Drug Medicare PaymentAmount |
4573.35 |
Total Drug Medicare Standardized Payment Amount |
4573.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
3620 |
Number Of Medicare Beneficiaries With Medical Services |
478 |
Total Medical Submitted Charge Amount |
369986 |
Total Medical Medicare Allowed Amount |
205498.15 |
Total Medical Medicare Payment Amount |
152690.9 |
Total Medical Medicare Standardized Payment Amount |
153528.79 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
195 |
Number Of Beneficiaries Age 75 to 84 |
196 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
310 |
Number Of Male Beneficiaries |
168 |
Number Of Non Hispanic White Beneficiaries |
436 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
452 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0868 |