National Provider Identifier [NPI]: |
1649592064 |
Last Name Of The Provider |
SHEN |
First Name Of The Provider |
YUENAN |
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 |
1918 E MILLER RD, SUITE 101 |
Street Address 2 Of The Provider |
|
City Of The Provider |
GARLAND |
Zip Code Of The Provider |
75041 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
2427 |
Number Of Medicare Beneficiaries |
969 |
Total Submitted Charge Amount |
470451 |
Total Medicare Allowed Amount |
76781.46 |
Total Medicare Payment Amount |
59913.2 |
Total Medicare Standardized Payment Amount |
42749.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
2427 |
Number Of Medicare Beneficiaries With Medical Services |
969 |
Total Medical Submitted Charge Amount |
470451 |
Total Medical Medicare Allowed Amount |
76781.46 |
Total Medical Medicare Payment Amount |
59913.2 |
Total Medical Medicare Standardized Payment Amount |
42749.65 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
184 |
Number Of Beneficiaries Age 65 to 74 |
418 |
Number Of Beneficiaries Age 75 to 84 |
277 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
574 |
Number Of Male Beneficiaries |
395 |
Number Of Non Hispanic White Beneficiaries |
841 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
702 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
267 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.4258 |