National Provider Identifier [NPI]: |
1598973273 |
Last Name Of The Provider |
MA |
First Name Of The Provider |
YANJUN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1840 MEDICAL CENTER PKWY |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
MURFREESBORO |
Zip Code Of The Provider |
371292564 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
144 |
Number Of Services |
194908 |
Number Of Medicare Beneficiaries |
618 |
Total Submitted Charge Amount |
2946438 |
Total Medicare Allowed Amount |
1879947.79 |
Total Medicare Payment Amount |
1449554.38 |
Total Medicare Standardized Payment Amount |
1461500.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
67 |
Number Of Drug Services |
183093 |
Number Of Medicare Beneficiaries With Drug Services |
255 |
Total Drug Submitted ChargeAmount |
2077641 |
Total Drug Medicare AllowedAmount |
1531613.22 |
Total Drug Medicare PaymentAmount |
1169172.7 |
Total Drug Medicare Standardized Payment Amount |
1169172.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
11815 |
Number Of Medicare Beneficiaries With Medical Services |
618 |
Total Medical Submitted Charge Amount |
868797 |
Total Medical Medicare Allowed Amount |
348334.57 |
Total Medical Medicare Payment Amount |
280381.68 |
Total Medical Medicare Standardized Payment Amount |
292328.12 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
266 |
Number Of Beneficiaries Age 75 to 84 |
199 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
404 |
Number Of Male Beneficiaries |
214 |
Number Of Non Hispanic White Beneficiaries |
583 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
516 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8179 |