National Provider Identifier [NPI]: |
1013957661 |
Last Name Of The Provider |
HUANG |
First Name Of The Provider |
YA-LAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1330 ROCKEFELLER AVE |
Street Address 2 Of The Provider |
SUITE 450 |
City Of The Provider |
EVERETT |
Zip Code Of The Provider |
982011684 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
3935 |
Number Of Medicare Beneficiaries |
372 |
Total Submitted Charge Amount |
575842 |
Total Medicare Allowed Amount |
258563.7 |
Total Medicare Payment Amount |
190486.06 |
Total Medicare Standardized Payment Amount |
192987.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1976 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
39600 |
Total Drug Medicare AllowedAmount |
22791.26 |
Total Drug Medicare PaymentAmount |
17590.65 |
Total Drug Medicare Standardized Payment Amount |
17590.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
1959 |
Number Of Medicare Beneficiaries With Medical Services |
372 |
Total Medical Submitted Charge Amount |
536242 |
Total Medical Medicare Allowed Amount |
235772.44 |
Total Medical Medicare Payment Amount |
172895.41 |
Total Medical Medicare Standardized Payment Amount |
175396.88 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
120 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
204 |
Number Of Male Beneficiaries |
168 |
Number Of Non Hispanic White Beneficiaries |
303 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
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 |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
3.6345 |