National Provider Identifier [NPI]: |
1043265192 |
Last Name Of The Provider |
YASAR |
First Name Of The Provider |
SUAT |
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 |
540 WEST PLUMB LANE |
Street Address 2 Of The Provider |
SUITE #1A |
City Of The Provider |
RENO |
Zip Code Of The Provider |
89509 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
10 |
Number Of Services |
325 |
Number Of Medicare Beneficiaries |
152 |
Total Submitted Charge Amount |
73208.21 |
Total Medicare Allowed Amount |
24737.86 |
Total Medicare Payment Amount |
16711.41 |
Total Medicare Standardized Payment Amount |
16559.32 |
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 |
10 |
Number Of Medical Services |
325 |
Number Of Medicare Beneficiaries With Medical Services |
152 |
Total Medical Submitted Charge Amount |
73208.21 |
Total Medical Medicare Allowed Amount |
24737.86 |
Total Medical Medicare Payment Amount |
16711.41 |
Total Medical Medicare Standardized Payment Amount |
16559.32 |
Average Age Of Beneficiaries |
54 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
95 |
Number Of Male Beneficiaries |
57 |
Number Of Non Hispanic White Beneficiaries |
123 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
78 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
0 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
11 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
72 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
30 |
Percent Of With Hypertension |
30 |
Percent Of With Ischemic Heart Disease |
11 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
20 |
Percent Of With Schizophrenia Other PsychoticDisorders |
35 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1485 |