National Provider Identifier [NPI]: |
1366478240 |
Last Name Of The Provider |
YANAGIHARA |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9360 NO NAME UNO #130 |
Street Address 2 Of The Provider |
|
City Of The Provider |
GILROY |
Zip Code Of The Provider |
950203535 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
69853 |
Number Of Medicare Beneficiaries |
435 |
Total Submitted Charge Amount |
3535613.79 |
Total Medicare Allowed Amount |
1627602.6 |
Total Medicare Payment Amount |
1264169.76 |
Total Medicare Standardized Payment Amount |
1206908.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
62 |
Number Of Drug Services |
65494 |
Number Of Medicare Beneficiaries With Drug Services |
110 |
Total Drug Submitted ChargeAmount |
2887365.79 |
Total Drug Medicare AllowedAmount |
1269757.41 |
Total Drug Medicare PaymentAmount |
992271.5 |
Total Drug Medicare Standardized Payment Amount |
992271.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
4359 |
Number Of Medicare Beneficiaries With Medical Services |
435 |
Total Medical Submitted Charge Amount |
648248 |
Total Medical Medicare Allowed Amount |
357845.19 |
Total Medical Medicare Payment Amount |
271898.26 |
Total Medical Medicare Standardized Payment Amount |
214636.54 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
144 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
248 |
Number Of Male Beneficiaries |
187 |
Number Of Non Hispanic White Beneficiaries |
246 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
51 |
Number Of Hispanic Beneficiaries |
120 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
320 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
47 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.7544 |