National Provider Identifier [NPI]: |
1114086931 |
Last Name Of The Provider |
BIRNBAUM |
First Name Of The Provider |
YOCHAI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1709 DRYDEN RD |
Street Address 2 Of The Provider |
BCM620 SUITE 9.32 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770302400 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
5431 |
Number Of Medicare Beneficiaries |
3238 |
Total Submitted Charge Amount |
511085.36 |
Total Medicare Allowed Amount |
195574.16 |
Total Medicare Payment Amount |
147219.02 |
Total Medicare Standardized Payment Amount |
148036.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
29 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
3159.86 |
Total Drug Medicare AllowedAmount |
1447.15 |
Total Drug Medicare PaymentAmount |
1141.14 |
Total Drug Medicare Standardized Payment Amount |
1141.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
5402 |
Number Of Medicare Beneficiaries With Medical Services |
3238 |
Total Medical Submitted Charge Amount |
507925.5 |
Total Medical Medicare Allowed Amount |
194127.01 |
Total Medical Medicare Payment Amount |
146077.88 |
Total Medical Medicare Standardized Payment Amount |
146895.47 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
654 |
Number Of Beneficiaries Age 65 to 74 |
1192 |
Number Of Beneficiaries Age 75 to 84 |
888 |
Number Of Beneficiaries Age Greater 84 |
504 |
Number Of Female Beneficiaries |
1661 |
Number Of Male Beneficiaries |
1577 |
Number Of Non Hispanic White Beneficiaries |
1938 |
Number Of Black or African American Beneficiaries |
821 |
Number Of AsianPacific Islander Beneficiaries |
78 |
Number Of Hispanic Beneficiaries |
378 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2573 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
665 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.5394 |