National Provider Identifier [NPI]: |
1780653220 |
Last Name Of The Provider |
YEH |
First Name Of The Provider |
RAY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2070 CLINTON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALAMEDA |
Zip Code Of The Provider |
945014399 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
6467 |
Number Of Medicare Beneficiaries |
1242 |
Total Submitted Charge Amount |
1318179 |
Total Medicare Allowed Amount |
771617.68 |
Total Medicare Payment Amount |
593787.4 |
Total Medicare Standardized Payment Amount |
553181.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
6467 |
Number Of Medicare Beneficiaries With Medical Services |
1242 |
Total Medical Submitted Charge Amount |
1318179 |
Total Medical Medicare Allowed Amount |
771617.68 |
Total Medical Medicare Payment Amount |
593787.4 |
Total Medical Medicare Standardized Payment Amount |
553181.49 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
296 |
Number Of Beneficiaries Age 65 to 74 |
308 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
368 |
Number Of Female Beneficiaries |
718 |
Number Of Male Beneficiaries |
524 |
Number Of Non Hispanic White Beneficiaries |
601 |
Number Of Black or African American Beneficiaries |
255 |
Number Of AsianPacific Islander Beneficiaries |
243 |
Number Of Hispanic Beneficiaries |
104 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
479 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
763 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
27 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.9962 |