National Provider Identifier [NPI]: |
1417067661 |
Last Name Of The Provider |
YANG |
First Name Of The Provider |
KOU |
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 |
2727 PLAZA DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WAUSAU |
Zip Code Of The Provider |
54401 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
1947 |
Number Of Medicare Beneficiaries |
294 |
Total Submitted Charge Amount |
275382.97 |
Total Medicare Allowed Amount |
100871.77 |
Total Medicare Payment Amount |
71069.72 |
Total Medicare Standardized Payment Amount |
74772.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
182 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
2671.52 |
Total Drug Medicare AllowedAmount |
2201.07 |
Total Drug Medicare PaymentAmount |
2071.75 |
Total Drug Medicare Standardized Payment Amount |
2071.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
1765 |
Number Of Medicare Beneficiaries With Medical Services |
294 |
Total Medical Submitted Charge Amount |
272711.45 |
Total Medical Medicare Allowed Amount |
98670.7 |
Total Medical Medicare Payment Amount |
68997.97 |
Total Medical Medicare Standardized Payment Amount |
72701.18 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
88 |
Number Of Beneficiaries Age 75 to 84 |
59 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
160 |
Number Of Male Beneficiaries |
134 |
Number Of Non Hispanic White Beneficiaries |
170 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
100 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
194 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3202 |