National Provider Identifier [NPI]: |
1366410268 |
Last Name Of The Provider |
YORDAN |
First Name Of The Provider |
JUAN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1503 BUENOS AIRES BLVD |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
THE VILLAGES |
Zip Code Of The Provider |
321596821 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
6856.9 |
Number Of Medicare Beneficiaries |
1081 |
Total Submitted Charge Amount |
589388.48 |
Total Medicare Allowed Amount |
395971.88 |
Total Medicare Payment Amount |
291887.21 |
Total Medicare Standardized Payment Amount |
293275.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
1284.9 |
Number Of Medicare Beneficiaries With Drug Services |
285 |
Total Drug Submitted ChargeAmount |
32053.48 |
Total Drug Medicare AllowedAmount |
24566.43 |
Total Drug Medicare PaymentAmount |
23377.57 |
Total Drug Medicare Standardized Payment Amount |
23377.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
5572 |
Number Of Medicare Beneficiaries With Medical Services |
1081 |
Total Medical Submitted Charge Amount |
557335 |
Total Medical Medicare Allowed Amount |
371405.45 |
Total Medical Medicare Payment Amount |
268509.64 |
Total Medical Medicare Standardized Payment Amount |
269897.84 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
597 |
Number Of Beneficiaries Age 75 to 84 |
364 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
597 |
Number Of Male Beneficiaries |
484 |
Number Of Non Hispanic White Beneficiaries |
1050 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1055 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9953 |