National Provider Identifier [NPI]: |
1164476511 |
Last Name Of The Provider |
LAN |
First Name Of The Provider |
YUHUAN |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
723 S GARFIELD AVE |
Street Address 2 Of The Provider |
SUITE 304 |
City Of The Provider |
ALHAMBRA |
Zip Code Of The Provider |
918014426 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
11051 |
Number Of Medicare Beneficiaries |
654 |
Total Submitted Charge Amount |
2413205 |
Total Medicare Allowed Amount |
1014132.41 |
Total Medicare Payment Amount |
793505.93 |
Total Medicare Standardized Payment Amount |
749112.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
605 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
23690 |
Total Drug Medicare AllowedAmount |
11143.08 |
Total Drug Medicare PaymentAmount |
8736.84 |
Total Drug Medicare Standardized Payment Amount |
8736.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
10446 |
Number Of Medicare Beneficiaries With Medical Services |
654 |
Total Medical Submitted Charge Amount |
2389515 |
Total Medical Medicare Allowed Amount |
1002989.33 |
Total Medical Medicare Payment Amount |
784769.09 |
Total Medical Medicare Standardized Payment Amount |
740376.1 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
208 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
326 |
Number Of Male Beneficiaries |
328 |
Number Of Non Hispanic White Beneficiaries |
134 |
Number Of Black or African American Beneficiaries |
152 |
Number Of AsianPacific Islander Beneficiaries |
226 |
Number Of Hispanic Beneficiaries |
131 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
33 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
621 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
43 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
52 |
Percent Of With Depression |
54 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
48 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.8868 |