National Provider Identifier [NPI]: |
1255610937 |
Last Name Of The Provider |
YEN |
First Name Of The Provider |
SUNTO |
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 |
9865 W ROOSEVELT RD |
Street Address 2 Of The Provider |
#105 |
City Of The Provider |
WESTCHESTER |
Zip Code Of The Provider |
601542767 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
7270 |
Number Of Medicare Beneficiaries |
503 |
Total Submitted Charge Amount |
952888.45 |
Total Medicare Allowed Amount |
561026.13 |
Total Medicare Payment Amount |
423891.81 |
Total Medicare Standardized Payment Amount |
394942.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1249 |
Number Of Medicare Beneficiaries With Drug Services |
106 |
Total Drug Submitted ChargeAmount |
48630 |
Total Drug Medicare AllowedAmount |
27113.1 |
Total Drug Medicare PaymentAmount |
21375.16 |
Total Drug Medicare Standardized Payment Amount |
21375.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
6021 |
Number Of Medicare Beneficiaries With Medical Services |
502 |
Total Medical Submitted Charge Amount |
904258.45 |
Total Medical Medicare Allowed Amount |
533913.03 |
Total Medical Medicare Payment Amount |
402516.65 |
Total Medical Medicare Standardized Payment Amount |
373567.17 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
146 |
Number Of Beneficiaries Age 75 to 84 |
148 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
296 |
Number Of Male Beneficiaries |
207 |
Number Of Non Hispanic White Beneficiaries |
236 |
Number Of Black or African American Beneficiaries |
147 |
Number Of AsianPacific Islander Beneficiaries |
70 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
137 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
366 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
43 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
51 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
29 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.2286 |