National Provider Identifier [NPI]: |
1033399837 |
Last Name Of The Provider |
YALTHO |
First Name Of The Provider |
TOBY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16605 SOUTHWEST FWY |
Street Address 2 Of The Provider |
SUITE 600 |
City Of The Provider |
SUGAR LAND |
Zip Code Of The Provider |
774793501 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
9894 |
Number Of Medicare Beneficiaries |
433 |
Total Submitted Charge Amount |
415527 |
Total Medicare Allowed Amount |
195515.21 |
Total Medicare Payment Amount |
144900.77 |
Total Medicare Standardized Payment Amount |
144159.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
8826 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
93543 |
Total Drug Medicare AllowedAmount |
48718.57 |
Total Drug Medicare PaymentAmount |
38188.28 |
Total Drug Medicare Standardized Payment Amount |
38188.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1068 |
Number Of Medicare Beneficiaries With Medical Services |
433 |
Total Medical Submitted Charge Amount |
321984 |
Total Medical Medicare Allowed Amount |
146796.64 |
Total Medical Medicare Payment Amount |
106712.49 |
Total Medical Medicare Standardized Payment Amount |
105971.66 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
139 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
233 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
317 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
57 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
357 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
76 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
1.6677 |