National Provider Identifier [NPI]: |
1093967184 |
Last Name Of The Provider |
HUANG |
First Name Of The Provider |
YILI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
139 CENTRE ST STE 307 |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW YORK |
Zip Code Of The Provider |
100134554 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
17040 |
Number Of Medicare Beneficiaries |
858 |
Total Submitted Charge Amount |
4892696.18 |
Total Medicare Allowed Amount |
2426819.59 |
Total Medicare Payment Amount |
1890975.92 |
Total Medicare Standardized Payment Amount |
1630697.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
8821 |
Number Of Medicare Beneficiaries With Drug Services |
187 |
Total Drug Submitted ChargeAmount |
27238.49 |
Total Drug Medicare AllowedAmount |
24824.2 |
Total Drug Medicare PaymentAmount |
19483.92 |
Total Drug Medicare Standardized Payment Amount |
19483.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
8219 |
Number Of Medicare Beneficiaries With Medical Services |
858 |
Total Medical Submitted Charge Amount |
4865457.69 |
Total Medical Medicare Allowed Amount |
2401995.39 |
Total Medical Medicare Payment Amount |
1871492 |
Total Medical Medicare Standardized Payment Amount |
1611213.3 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
287 |
Number Of Beneficiaries Age 75 to 84 |
376 |
Number Of Beneficiaries Age Greater 84 |
159 |
Number Of Female Beneficiaries |
444 |
Number Of Male Beneficiaries |
414 |
Number Of Non Hispanic White Beneficiaries |
15 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
807 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
75 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
783 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
6 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
25 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6972 |