National Provider Identifier [NPI]: |
1932168077 |
Last Name Of The Provider |
HE |
First Name Of The Provider |
YU-GUANG |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD MS |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5323 HARRY HINES BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
753907208 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
3960 |
Number Of Medicare Beneficiaries |
904 |
Total Submitted Charge Amount |
2558201 |
Total Medicare Allowed Amount |
922924.56 |
Total Medicare Payment Amount |
700250.16 |
Total Medicare Standardized Payment Amount |
702769.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
892 |
Number Of Medicare Beneficiaries With Drug Services |
128 |
Total Drug Submitted ChargeAmount |
1053053 |
Total Drug Medicare AllowedAmount |
503903.89 |
Total Drug Medicare PaymentAmount |
394912.59 |
Total Drug Medicare Standardized Payment Amount |
394912.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3068 |
Number Of Medicare Beneficiaries With Medical Services |
903 |
Total Medical Submitted Charge Amount |
1505148 |
Total Medical Medicare Allowed Amount |
419020.67 |
Total Medical Medicare Payment Amount |
305337.57 |
Total Medical Medicare Standardized Payment Amount |
307857.18 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
82 |
Number Of Beneficiaries Age 65 to 74 |
347 |
Number Of Beneficiaries Age 75 to 84 |
317 |
Number Of Beneficiaries Age Greater 84 |
158 |
Number Of Female Beneficiaries |
528 |
Number Of Male Beneficiaries |
376 |
Number Of Non Hispanic White Beneficiaries |
688 |
Number Of Black or African American Beneficiaries |
86 |
Number Of AsianPacific Islander Beneficiaries |
56 |
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
808 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
96 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4598 |