National Provider Identifier [NPI]: |
1124087333 |
Last Name Of The Provider |
YEOH |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1481 S KING ST |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
HONOLULU |
Zip Code Of The Provider |
968142601 |
State Code Of The Provider |
HI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
15019 |
Number Of Medicare Beneficiaries |
1547 |
Total Submitted Charge Amount |
684340.68 |
Total Medicare Allowed Amount |
214384.32 |
Total Medicare Payment Amount |
162325.21 |
Total Medicare Standardized Payment Amount |
152119.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
12734 |
Number Of Medicare Beneficiaries With Drug Services |
122 |
Total Drug Submitted ChargeAmount |
8407.83 |
Total Drug Medicare AllowedAmount |
2881.65 |
Total Drug Medicare PaymentAmount |
2029.84 |
Total Drug Medicare Standardized Payment Amount |
2029.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
2285 |
Number Of Medicare Beneficiaries With Medical Services |
1547 |
Total Medical Submitted Charge Amount |
675932.85 |
Total Medical Medicare Allowed Amount |
211502.67 |
Total Medical Medicare Payment Amount |
160295.37 |
Total Medical Medicare Standardized Payment Amount |
150090 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
129 |
Number Of Beneficiaries Age 65 to 74 |
649 |
Number Of Beneficiaries Age 75 to 84 |
518 |
Number Of Beneficiaries Age Greater 84 |
251 |
Number Of Female Beneficiaries |
1005 |
Number Of Male Beneficiaries |
542 |
Number Of Non Hispanic White Beneficiaries |
210 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
1082 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
187 |
Number Of Beneficiaries With Medicare Only Entitlement |
1282 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
265 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0991 |