| National Provider Identifier [NPI]: | 1023284809 |
| Last Name Of The Provider | YEN |
| First Name Of The Provider | PHILIP |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8629 SUDLEY RD |
| Street Address 2 Of The Provider | SUITE 102 |
| City Of The Provider | MANASSAS |
| Zip Code Of The Provider | 201104590 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 132 |
| Number Of Services | 5509 |
| Number Of Medicare Beneficiaries | 2982 |
| Total Submitted Charge Amount | 462941 |
| Total Medicare Allowed Amount | 134318.31 |
| Total Medicare Payment Amount | 99806.77 |
| Total Medicare Standardized Payment Amount | 101754.64 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1125 |
| Number Of Medicare Beneficiaries With Drug Services | 13 |
| Total Drug Submitted ChargeAmount | 1900 |
| Total Drug Medicare AllowedAmount | 242.31 |
| Total Drug Medicare PaymentAmount | 189.96 |
| Total Drug Medicare Standardized Payment Amount | 189.96 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 130 |
| Number Of Medical Services | 4384 |
| Number Of Medicare Beneficiaries With Medical Services | 2982 |
| Total Medical Submitted Charge Amount | 461041 |
| Total Medical Medicare Allowed Amount | 134076 |
| Total Medical Medicare Payment Amount | 99616.81 |
| Total Medical Medicare Standardized Payment Amount | 101564.68 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 620 |
| Number Of Beneficiaries Age 65 to 74 | 832 |
| Number Of Beneficiaries Age 75 to 84 | 822 |
| Number Of Beneficiaries Age Greater 84 | 708 |
| Number Of Female Beneficiaries | 1833 |
| Number Of Male Beneficiaries | 1149 |
| Number Of Non Hispanic White Beneficiaries | 2328 |
| Number Of Black or African American Beneficiaries | 504 |
| Number Of AsianPacific Islander Beneficiaries | 40 |
| Number Of Hispanic Beneficiaries | 73 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1994 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 988 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 28 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 41 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 14 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.1199 |