National Provider Identifier [NPI]: |
1740237692 |
Last Name Of The Provider |
HE |
First Name Of The Provider |
XING-YUE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 NE 87TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
VANCOUVER |
Zip Code Of The Provider |
986641913 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
141 |
Number Of Services |
29159 |
Number Of Medicare Beneficiaries |
383 |
Total Submitted Charge Amount |
1417224.03 |
Total Medicare Allowed Amount |
766267.27 |
Total Medicare Payment Amount |
595356.26 |
Total Medicare Standardized Payment Amount |
591898.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
57 |
Number Of Drug Services |
25629 |
Number Of Medicare Beneficiaries With Drug Services |
143 |
Total Drug Submitted ChargeAmount |
850898.22 |
Total Drug Medicare AllowedAmount |
575591.45 |
Total Drug Medicare PaymentAmount |
449432.78 |
Total Drug Medicare Standardized Payment Amount |
449432.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
3530 |
Number Of Medicare Beneficiaries With Medical Services |
383 |
Total Medical Submitted Charge Amount |
566325.81 |
Total Medical Medicare Allowed Amount |
190675.82 |
Total Medical Medicare Payment Amount |
145923.48 |
Total Medical Medicare Standardized Payment Amount |
142465.98 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
148 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
233 |
Number Of Male Beneficiaries |
150 |
Number Of Non Hispanic White Beneficiaries |
341 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
18 |
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 |
277 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
106 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
32 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8544 |