National Provider Identifier [NPI]: |
1245323468 |
Last Name Of The Provider |
YADAV |
First Name Of The Provider |
ANIL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
51 GORDON RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
JASPER |
Zip Code Of The Provider |
301431017 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
9070 |
Number Of Medicare Beneficiaries |
791 |
Total Submitted Charge Amount |
691571.34 |
Total Medicare Allowed Amount |
368075.73 |
Total Medicare Payment Amount |
267427.08 |
Total Medicare Standardized Payment Amount |
282841.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
2464 |
Number Of Medicare Beneficiaries With Drug Services |
410 |
Total Drug Submitted ChargeAmount |
32348 |
Total Drug Medicare AllowedAmount |
10330.44 |
Total Drug Medicare PaymentAmount |
8348.54 |
Total Drug Medicare Standardized Payment Amount |
8348.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
6606 |
Number Of Medicare Beneficiaries With Medical Services |
790 |
Total Medical Submitted Charge Amount |
659223.34 |
Total Medical Medicare Allowed Amount |
357745.29 |
Total Medical Medicare Payment Amount |
259078.54 |
Total Medical Medicare Standardized Payment Amount |
274492.57 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
414 |
Number Of Beneficiaries Age 75 to 84 |
217 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
427 |
Number Of Male Beneficiaries |
364 |
Number Of Non Hispanic White Beneficiaries |
754 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
672 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
119 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9735 |