National Provider Identifier [NPI]: |
1083699243 |
Last Name Of The Provider |
YOO |
First Name Of The Provider |
HARRISON |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1139 E SONTERRA BLVD |
Street Address 2 Of The Provider |
SUITE #405 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782584347 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
6137 |
Number Of Medicare Beneficiaries |
702 |
Total Submitted Charge Amount |
558581 |
Total Medicare Allowed Amount |
211002.47 |
Total Medicare Payment Amount |
161724.59 |
Total Medicare Standardized Payment Amount |
168714.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
169 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
13904 |
Total Drug Medicare AllowedAmount |
6325.18 |
Total Drug Medicare PaymentAmount |
6119.61 |
Total Drug Medicare Standardized Payment Amount |
6119.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
5968 |
Number Of Medicare Beneficiaries With Medical Services |
702 |
Total Medical Submitted Charge Amount |
544677 |
Total Medical Medicare Allowed Amount |
204677.29 |
Total Medical Medicare Payment Amount |
155604.98 |
Total Medical Medicare Standardized Payment Amount |
162595.26 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
359 |
Number Of Beneficiaries Age 75 to 84 |
227 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
374 |
Number Of Male Beneficiaries |
328 |
Number Of Non Hispanic White Beneficiaries |
602 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
689 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0585 |