National Provider Identifier [NPI]: |
1184614604 |
Last Name Of The Provider |
YE |
First Name Of The Provider |
JIUMING |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 WASON AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
011071119 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
24062 |
Number Of Medicare Beneficiaries |
789 |
Total Submitted Charge Amount |
1167967.83 |
Total Medicare Allowed Amount |
411524.26 |
Total Medicare Payment Amount |
316004.27 |
Total Medicare Standardized Payment Amount |
313171.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
18845 |
Number Of Medicare Beneficiaries With Drug Services |
125 |
Total Drug Submitted ChargeAmount |
180462.18 |
Total Drug Medicare AllowedAmount |
70891.83 |
Total Drug Medicare PaymentAmount |
54288.89 |
Total Drug Medicare Standardized Payment Amount |
54288.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
5217 |
Number Of Medicare Beneficiaries With Medical Services |
789 |
Total Medical Submitted Charge Amount |
987505.65 |
Total Medical Medicare Allowed Amount |
340632.43 |
Total Medical Medicare Payment Amount |
261715.38 |
Total Medical Medicare Standardized Payment Amount |
258882.78 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
226 |
Number Of Beneficiaries Age 65 to 74 |
251 |
Number Of Beneficiaries Age 75 to 84 |
202 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
382 |
Number Of Male Beneficiaries |
407 |
Number Of Non Hispanic White Beneficiaries |
564 |
Number Of Black or African American Beneficiaries |
105 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
104 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
446 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
343 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
4.056 |