National Provider Identifier [NPI]: |
1609980531 |
Last Name Of The Provider |
YAMAGUCHI |
First Name Of The Provider |
ELENA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13550 JOG RD |
Street Address 2 Of The Provider |
202A |
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
334463808 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
405826 |
Number Of Medicare Beneficiaries |
870 |
Total Submitted Charge Amount |
1569768 |
Total Medicare Allowed Amount |
912707.64 |
Total Medicare Payment Amount |
715171.92 |
Total Medicare Standardized Payment Amount |
693158.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
398850 |
Number Of Medicare Beneficiaries With Drug Services |
107 |
Total Drug Submitted ChargeAmount |
502385 |
Total Drug Medicare AllowedAmount |
277348.68 |
Total Drug Medicare PaymentAmount |
217378.94 |
Total Drug Medicare Standardized Payment Amount |
217378.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
6976 |
Number Of Medicare Beneficiaries With Medical Services |
870 |
Total Medical Submitted Charge Amount |
1067383 |
Total Medical Medicare Allowed Amount |
635358.96 |
Total Medical Medicare Payment Amount |
497792.98 |
Total Medical Medicare Standardized Payment Amount |
475779.65 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
274 |
Number Of Beneficiaries Age Greater 84 |
374 |
Number Of Female Beneficiaries |
487 |
Number Of Male Beneficiaries |
383 |
Number Of Non Hispanic White Beneficiaries |
805 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
726 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
144 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.647 |