National Provider Identifier [NPI]: |
1396722765 |
Last Name Of The Provider |
YEOMAN |
First Name Of The Provider |
LANCE |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
225 PHYSICIANS PARK STE 203 |
Street Address 2 Of The Provider |
|
City Of The Provider |
POPLAR BLUFF |
Zip Code Of The Provider |
639013921 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
11999 |
Number Of Medicare Beneficiaries |
1558 |
Total Submitted Charge Amount |
2237333.5 |
Total Medicare Allowed Amount |
878068.31 |
Total Medicare Payment Amount |
654172.83 |
Total Medicare Standardized Payment Amount |
707117.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
164 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
53927.5 |
Total Drug Medicare AllowedAmount |
36872.33 |
Total Drug Medicare PaymentAmount |
28702.28 |
Total Drug Medicare Standardized Payment Amount |
28702.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
11835 |
Number Of Medicare Beneficiaries With Medical Services |
1558 |
Total Medical Submitted Charge Amount |
2183406 |
Total Medical Medicare Allowed Amount |
841195.98 |
Total Medical Medicare Payment Amount |
625470.55 |
Total Medical Medicare Standardized Payment Amount |
678415.12 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
219 |
Number Of Beneficiaries Age 65 to 74 |
653 |
Number Of Beneficiaries Age 75 to 84 |
516 |
Number Of Beneficiaries Age Greater 84 |
170 |
Number Of Female Beneficiaries |
818 |
Number Of Male Beneficiaries |
740 |
Number Of Non Hispanic White Beneficiaries |
1538 |
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 |
1223 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
335 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0887 |