National Provider Identifier [NPI]: |
1891938569 |
Last Name Of The Provider |
YEH |
First Name Of The Provider |
ERNEST |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
330 BROOKLINE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOSTON |
Zip Code Of The Provider |
022155400 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
4328 |
Number Of Medicare Beneficiaries |
2735 |
Total Submitted Charge Amount |
478529 |
Total Medicare Allowed Amount |
138500.71 |
Total Medicare Payment Amount |
105987.88 |
Total Medicare Standardized Payment Amount |
103031.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
123 |
Number Of Medical Services |
4328 |
Number Of Medicare Beneficiaries With Medical Services |
2735 |
Total Medical Submitted Charge Amount |
478529 |
Total Medical Medicare Allowed Amount |
138500.71 |
Total Medical Medicare Payment Amount |
105987.88 |
Total Medical Medicare Standardized Payment Amount |
103031.21 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
369 |
Number Of Beneficiaries Age 65 to 74 |
792 |
Number Of Beneficiaries Age 75 to 84 |
880 |
Number Of Beneficiaries Age Greater 84 |
694 |
Number Of Female Beneficiaries |
1701 |
Number Of Male Beneficiaries |
1034 |
Number Of Non Hispanic White Beneficiaries |
2619 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
2083 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
652 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.846 |