National Provider Identifier [NPI]: |
1851321202 |
Last Name Of The Provider |
YAGER |
First Name Of The Provider |
RODNEY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 N MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONROE CITY |
Zip Code Of The Provider |
634561318 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
204 |
Number Of Services |
11936 |
Number Of Medicare Beneficiaries |
489 |
Total Submitted Charge Amount |
926112 |
Total Medicare Allowed Amount |
276370.75 |
Total Medicare Payment Amount |
202512.56 |
Total Medicare Standardized Payment Amount |
220857.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
24 |
Number Of Drug Services |
5932 |
Number Of Medicare Beneficiaries With Drug Services |
277 |
Total Drug Submitted ChargeAmount |
70283 |
Total Drug Medicare AllowedAmount |
23214.72 |
Total Drug Medicare PaymentAmount |
18751.63 |
Total Drug Medicare Standardized Payment Amount |
18751.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
180 |
Number Of Medical Services |
6004 |
Number Of Medicare Beneficiaries With Medical Services |
489 |
Total Medical Submitted Charge Amount |
855829 |
Total Medical Medicare Allowed Amount |
253156.03 |
Total Medical Medicare Payment Amount |
183760.93 |
Total Medical Medicare Standardized Payment Amount |
202105.67 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
197 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
256 |
Number Of Male Beneficiaries |
233 |
Number Of Non Hispanic White Beneficiaries |
471 |
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 |
360 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
129 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0734 |