National Provider Identifier [NPI]: |
1467433433 |
Last Name Of The Provider |
YOM |
First Name Of The Provider |
SUN |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12951 SOUTH FWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770471923 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
169 |
Number Of Services |
5635 |
Number Of Medicare Beneficiaries |
3051 |
Total Submitted Charge Amount |
569197 |
Total Medicare Allowed Amount |
139822.97 |
Total Medicare Payment Amount |
109391.36 |
Total Medicare Standardized Payment Amount |
113516.66 |
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 |
169 |
Number Of Medical Services |
5635 |
Number Of Medicare Beneficiaries With Medical Services |
3051 |
Total Medical Submitted Charge Amount |
569197 |
Total Medical Medicare Allowed Amount |
139822.97 |
Total Medical Medicare Payment Amount |
109391.36 |
Total Medical Medicare Standardized Payment Amount |
113516.66 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
600 |
Number Of Beneficiaries Age 65 to 74 |
1071 |
Number Of Beneficiaries Age 75 to 84 |
891 |
Number Of Beneficiaries Age Greater 84 |
489 |
Number Of Female Beneficiaries |
1835 |
Number Of Male Beneficiaries |
1216 |
Number Of Non Hispanic White Beneficiaries |
2163 |
Number Of Black or African American Beneficiaries |
462 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
371 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
2123 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
928 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.2914 |