National Provider Identifier [NPI]: |
1831124494 |
Last Name Of The Provider |
YAP |
First Name Of The Provider |
RENEE |
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 |
680 N LAKE SHORE DR |
Street Address 2 Of The Provider |
SUITE 1000 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606114546 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
3242 |
Number Of Medicare Beneficiaries |
2167 |
Total Submitted Charge Amount |
380927 |
Total Medicare Allowed Amount |
79281.49 |
Total Medicare Payment Amount |
58649.99 |
Total Medicare Standardized Payment Amount |
55000.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
3242 |
Number Of Medicare Beneficiaries With Medical Services |
2167 |
Total Medical Submitted Charge Amount |
380927 |
Total Medical Medicare Allowed Amount |
79281.49 |
Total Medical Medicare Payment Amount |
58649.99 |
Total Medical Medicare Standardized Payment Amount |
55000.65 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
391 |
Number Of Beneficiaries Age 65 to 74 |
981 |
Number Of Beneficiaries Age 75 to 84 |
562 |
Number Of Beneficiaries Age Greater 84 |
233 |
Number Of Female Beneficiaries |
1299 |
Number Of Male Beneficiaries |
868 |
Number Of Non Hispanic White Beneficiaries |
1440 |
Number Of Black or African American Beneficiaries |
481 |
Number Of AsianPacific Islander Beneficiaries |
56 |
Number Of Hispanic Beneficiaries |
141 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
49 |
Number Of Beneficiaries With Medicare Only Entitlement |
1671 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
496 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7066 |