National Provider Identifier [NPI]: |
1386657815 |
Last Name Of The Provider |
YANG |
First Name Of The Provider |
BAO |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
149 N 6TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONTEBELLO |
Zip Code Of The Provider |
906405257 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
8005 |
Number Of Medicare Beneficiaries |
2413 |
Total Submitted Charge Amount |
697250 |
Total Medicare Allowed Amount |
431597.47 |
Total Medicare Payment Amount |
335435.19 |
Total Medicare Standardized Payment Amount |
314816.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
11 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
330 |
Total Drug Medicare AllowedAmount |
101.2 |
Total Drug Medicare PaymentAmount |
99.19 |
Total Drug Medicare Standardized Payment Amount |
99.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
7994 |
Number Of Medicare Beneficiaries With Medical Services |
2413 |
Total Medical Submitted Charge Amount |
696920 |
Total Medical Medicare Allowed Amount |
431496.27 |
Total Medical Medicare Payment Amount |
335336 |
Total Medical Medicare Standardized Payment Amount |
314717.31 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
280 |
Number Of Beneficiaries Age 65 to 74 |
589 |
Number Of Beneficiaries Age 75 to 84 |
796 |
Number Of Beneficiaries Age Greater 84 |
748 |
Number Of Female Beneficiaries |
1372 |
Number Of Male Beneficiaries |
1041 |
Number Of Non Hispanic White Beneficiaries |
318 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
1162 |
Number Of Hispanic Beneficiaries |
840 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
415 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1998 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
43 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
3.0345 |