National Provider Identifier [NPI]: |
1801005996 |
Last Name Of The Provider |
YATES |
First Name Of The Provider |
JARROD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1948 1ST AVE NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CEDAR RAPIDS |
Zip Code Of The Provider |
524025321 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
3771 |
Number Of Medicare Beneficiaries |
2479 |
Total Submitted Charge Amount |
328661 |
Total Medicare Allowed Amount |
105467.58 |
Total Medicare Payment Amount |
78752.14 |
Total Medicare Standardized Payment Amount |
81309.15 |
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 |
108 |
Number Of Medical Services |
3771 |
Number Of Medicare Beneficiaries With Medical Services |
2479 |
Total Medical Submitted Charge Amount |
328661 |
Total Medical Medicare Allowed Amount |
105467.58 |
Total Medical Medicare Payment Amount |
78752.14 |
Total Medical Medicare Standardized Payment Amount |
81309.15 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
571 |
Number Of Beneficiaries Age 65 to 74 |
679 |
Number Of Beneficiaries Age 75 to 84 |
615 |
Number Of Beneficiaries Age Greater 84 |
614 |
Number Of Female Beneficiaries |
1482 |
Number Of Male Beneficiaries |
997 |
Number Of Non Hispanic White Beneficiaries |
1881 |
Number Of Black or African American Beneficiaries |
522 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
1601 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
878 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1868 |