National Provider Identifier [NPI]: |
1427048693 |
Last Name Of The Provider |
WANG |
First Name Of The Provider |
YUJEN |
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 |
2859 STATE ST |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
MEDFORD |
Zip Code Of The Provider |
975048400 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
22957 |
Number Of Medicare Beneficiaries |
1159 |
Total Submitted Charge Amount |
8252718 |
Total Medicare Allowed Amount |
3269231.08 |
Total Medicare Payment Amount |
2514549.64 |
Total Medicare Standardized Payment Amount |
2550005.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
5713 |
Number Of Medicare Beneficiaries With Drug Services |
450 |
Total Drug Submitted ChargeAmount |
3205675 |
Total Drug Medicare AllowedAmount |
1884300.36 |
Total Drug Medicare PaymentAmount |
1476777.93 |
Total Drug Medicare Standardized Payment Amount |
1476777.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
17244 |
Number Of Medicare Beneficiaries With Medical Services |
1159 |
Total Medical Submitted Charge Amount |
5047043 |
Total Medical Medicare Allowed Amount |
1384930.72 |
Total Medical Medicare Payment Amount |
1037771.71 |
Total Medical Medicare Standardized Payment Amount |
1073227.53 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
423 |
Number Of Beneficiaries Age 75 to 84 |
385 |
Number Of Beneficiaries Age Greater 84 |
282 |
Number Of Female Beneficiaries |
693 |
Number Of Male Beneficiaries |
466 |
Number Of Non Hispanic White Beneficiaries |
1108 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1028 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2376 |