National Provider Identifier [NPI]: |
1225226301 |
Last Name Of The Provider |
YEGIAIAN |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
625 S FAIR OAKS AVE |
Street Address 2 Of The Provider |
SUITE 325 |
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
911052613 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
8586 |
Number Of Medicare Beneficiaries |
372 |
Total Submitted Charge Amount |
499872 |
Total Medicare Allowed Amount |
325483.7 |
Total Medicare Payment Amount |
251938.13 |
Total Medicare Standardized Payment Amount |
224598.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
6700 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
56650 |
Total Drug Medicare AllowedAmount |
36924.4 |
Total Drug Medicare PaymentAmount |
28948.73 |
Total Drug Medicare Standardized Payment Amount |
28948.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
1886 |
Number Of Medicare Beneficiaries With Medical Services |
372 |
Total Medical Submitted Charge Amount |
443222 |
Total Medical Medicare Allowed Amount |
288559.3 |
Total Medical Medicare Payment Amount |
222989.4 |
Total Medical Medicare Standardized Payment Amount |
195649.37 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
121 |
Number Of Beneficiaries Age 75 to 84 |
127 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
207 |
Number Of Male Beneficiaries |
165 |
Number Of Non Hispanic White Beneficiaries |
259 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
263 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
26 |
Average HCC Risk Score Of Beneficiaries |
1.7227 |