National Provider Identifier [NPI]: |
1578664140 |
Last Name Of The Provider |
YANDEL |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
129 E REDSTONE AVE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
CRESTVIEW |
Zip Code Of The Provider |
325395364 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
13641 |
Number Of Medicare Beneficiaries |
3062 |
Total Submitted Charge Amount |
2297295 |
Total Medicare Allowed Amount |
1151061.01 |
Total Medicare Payment Amount |
864503.73 |
Total Medicare Standardized Payment Amount |
871426.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
964 |
Number Of Medicare Beneficiaries With Drug Services |
239 |
Total Drug Submitted ChargeAmount |
88412 |
Total Drug Medicare AllowedAmount |
50925.34 |
Total Drug Medicare PaymentAmount |
39561.07 |
Total Drug Medicare Standardized Payment Amount |
39561.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
12677 |
Number Of Medicare Beneficiaries With Medical Services |
3062 |
Total Medical Submitted Charge Amount |
2208883 |
Total Medical Medicare Allowed Amount |
1100135.67 |
Total Medical Medicare Payment Amount |
824942.66 |
Total Medical Medicare Standardized Payment Amount |
831865.65 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
344 |
Number Of Beneficiaries Age 65 to 74 |
1064 |
Number Of Beneficiaries Age 75 to 84 |
1206 |
Number Of Beneficiaries Age Greater 84 |
448 |
Number Of Female Beneficiaries |
1488 |
Number Of Male Beneficiaries |
1574 |
Number Of Non Hispanic White Beneficiaries |
2759 |
Number Of Black or African American Beneficiaries |
187 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
2556 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
506 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7075 |