National Provider Identifier [NPI]: |
1023050895 |
Last Name Of The Provider |
YUE |
First Name Of The Provider |
NANCY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7253 AMBASSADOR RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212442710 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
16888 |
Number Of Medicare Beneficiaries |
3190 |
Total Submitted Charge Amount |
3040464.25 |
Total Medicare Allowed Amount |
758406.56 |
Total Medicare Payment Amount |
579789.11 |
Total Medicare Standardized Payment Amount |
548543.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
12675 |
Number Of Medicare Beneficiaries With Drug Services |
464 |
Total Drug Submitted ChargeAmount |
20612.61 |
Total Drug Medicare AllowedAmount |
14129.52 |
Total Drug Medicare PaymentAmount |
10263.39 |
Total Drug Medicare Standardized Payment Amount |
10263.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
4213 |
Number Of Medicare Beneficiaries With Medical Services |
3190 |
Total Medical Submitted Charge Amount |
3019851.64 |
Total Medical Medicare Allowed Amount |
744277.04 |
Total Medical Medicare Payment Amount |
569525.72 |
Total Medical Medicare Standardized Payment Amount |
538280.08 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
531 |
Number Of Beneficiaries Age 65 to 74 |
1305 |
Number Of Beneficiaries Age 75 to 84 |
922 |
Number Of Beneficiaries Age Greater 84 |
432 |
Number Of Female Beneficiaries |
1966 |
Number Of Male Beneficiaries |
1224 |
Number Of Non Hispanic White Beneficiaries |
2610 |
Number Of Black or African American Beneficiaries |
465 |
Number Of AsianPacific Islander Beneficiaries |
36 |
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2691 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
499 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.3883 |