National Provider Identifier [NPI]: |
1215930268 |
Last Name Of The Provider |
YEN |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
17323 RED OAK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770901243 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
165577 |
Number Of Medicare Beneficiaries |
586 |
Total Submitted Charge Amount |
4342441.76 |
Total Medicare Allowed Amount |
1686313.49 |
Total Medicare Payment Amount |
1288611.19 |
Total Medicare Standardized Payment Amount |
1285398.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
51 |
Number Of Drug Services |
160991 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
3308380.65 |
Total Drug Medicare AllowedAmount |
1278082.51 |
Total Drug Medicare PaymentAmount |
976966.46 |
Total Drug Medicare Standardized Payment Amount |
976966.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
4586 |
Number Of Medicare Beneficiaries With Medical Services |
586 |
Total Medical Submitted Charge Amount |
1034061.11 |
Total Medical Medicare Allowed Amount |
408230.98 |
Total Medical Medicare Payment Amount |
311644.73 |
Total Medical Medicare Standardized Payment Amount |
308431.87 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
246 |
Number Of Beneficiaries Age 75 to 84 |
183 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
345 |
Number Of Male Beneficiaries |
241 |
Number Of Non Hispanic White Beneficiaries |
395 |
Number Of Black or African American Beneficiaries |
107 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
461 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
37 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.373 |