National Provider Identifier [NPI]: |
1528034154 |
Last Name Of The Provider |
YANG |
First Name Of The Provider |
XIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MB BCHIR |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3300 WEBSTER ST |
Street Address 2 Of The Provider |
SUITE 404-410 |
City Of The Provider |
OAKLAND |
Zip Code Of The Provider |
946093117 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
3207 |
Number Of Medicare Beneficiaries |
1144 |
Total Submitted Charge Amount |
862342.64 |
Total Medicare Allowed Amount |
435243.55 |
Total Medicare Payment Amount |
329117.46 |
Total Medicare Standardized Payment Amount |
299759.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
113 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
10537.25 |
Total Drug Medicare AllowedAmount |
5982.92 |
Total Drug Medicare PaymentAmount |
4566.33 |
Total Drug Medicare Standardized Payment Amount |
4566.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
3094 |
Number Of Medicare Beneficiaries With Medical Services |
1144 |
Total Medical Submitted Charge Amount |
851805.39 |
Total Medical Medicare Allowed Amount |
429260.63 |
Total Medical Medicare Payment Amount |
324551.13 |
Total Medical Medicare Standardized Payment Amount |
295193.07 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
417 |
Number Of Beneficiaries Age 75 to 84 |
361 |
Number Of Beneficiaries Age Greater 84 |
244 |
Number Of Female Beneficiaries |
535 |
Number Of Male Beneficiaries |
609 |
Number Of Non Hispanic White Beneficiaries |
612 |
Number Of Black or African American Beneficiaries |
235 |
Number Of AsianPacific Islander Beneficiaries |
200 |
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
765 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
379 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7224 |