National Provider Identifier [NPI]: |
1134393473 |
Last Name Of The Provider |
KYAW |
First Name Of The Provider |
YADANA |
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 |
5501 OLD YORK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191413018 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
3448 |
Number Of Medicare Beneficiaries |
987 |
Total Submitted Charge Amount |
635198 |
Total Medicare Allowed Amount |
270668.25 |
Total Medicare Payment Amount |
209115.5 |
Total Medicare Standardized Payment Amount |
224545.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
20 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
430 |
Total Drug Medicare AllowedAmount |
350.04 |
Total Drug Medicare PaymentAmount |
343.01 |
Total Drug Medicare Standardized Payment Amount |
343.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
3428 |
Number Of Medicare Beneficiaries With Medical Services |
987 |
Total Medical Submitted Charge Amount |
634768 |
Total Medical Medicare Allowed Amount |
270318.21 |
Total Medical Medicare Payment Amount |
208772.49 |
Total Medical Medicare Standardized Payment Amount |
224202.6 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
200 |
Number Of Beneficiaries Age 65 to 74 |
366 |
Number Of Beneficiaries Age 75 to 84 |
307 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
530 |
Number Of Male Beneficiaries |
457 |
Number Of Non Hispanic White Beneficiaries |
746 |
Number Of Black or African American Beneficiaries |
226 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
655 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
332 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
60 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.5277 |