National Provider Identifier [NPI]: |
1487919171 |
Last Name Of The Provider |
YOHO |
First Name Of The Provider |
SARAH |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4120 CORLEY ISLAND RD |
Street Address 2 Of The Provider |
STE 600 |
City Of The Provider |
LEESBURG |
Zip Code Of The Provider |
347488292 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
3875 |
Number Of Medicare Beneficiaries |
952 |
Total Submitted Charge Amount |
328970 |
Total Medicare Allowed Amount |
202085.76 |
Total Medicare Payment Amount |
151693.79 |
Total Medicare Standardized Payment Amount |
177255.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
26 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
4058 |
Total Drug Medicare AllowedAmount |
3706.94 |
Total Drug Medicare PaymentAmount |
2906.15 |
Total Drug Medicare Standardized Payment Amount |
2906.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
3849 |
Number Of Medicare Beneficiaries With Medical Services |
952 |
Total Medical Submitted Charge Amount |
324912 |
Total Medical Medicare Allowed Amount |
198378.82 |
Total Medical Medicare Payment Amount |
148787.64 |
Total Medical Medicare Standardized Payment Amount |
174349.66 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
496 |
Number Of Beneficiaries Age 75 to 84 |
317 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
520 |
Number Of Male Beneficiaries |
432 |
Number Of Non Hispanic White Beneficiaries |
914 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
937 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0291 |