National Provider Identifier [NPI]: |
1346249455 |
Last Name Of The Provider |
WEI |
First Name Of The Provider |
JUEYANG |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD, PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
208 SOUTHPARK CIR E |
Street Address 2 Of The Provider |
|
City Of The Provider |
ST AUGUSTINE |
Zip Code Of The Provider |
320865135 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
6439 |
Number Of Medicare Beneficiaries |
1452 |
Total Submitted Charge Amount |
989080 |
Total Medicare Allowed Amount |
504143.14 |
Total Medicare Payment Amount |
379027.57 |
Total Medicare Standardized Payment Amount |
381074.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2370 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
26070 |
Total Drug Medicare AllowedAmount |
13066.53 |
Total Drug Medicare PaymentAmount |
10026.41 |
Total Drug Medicare Standardized Payment Amount |
10026.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
4069 |
Number Of Medicare Beneficiaries With Medical Services |
1452 |
Total Medical Submitted Charge Amount |
963010 |
Total Medical Medicare Allowed Amount |
491076.61 |
Total Medical Medicare Payment Amount |
369001.16 |
Total Medical Medicare Standardized Payment Amount |
371048.24 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
193 |
Number Of Beneficiaries Age 65 to 74 |
560 |
Number Of Beneficiaries Age 75 to 84 |
464 |
Number Of Beneficiaries Age Greater 84 |
235 |
Number Of Female Beneficiaries |
815 |
Number Of Male Beneficiaries |
637 |
Number Of Non Hispanic White Beneficiaries |
1307 |
Number Of Black or African American Beneficiaries |
90 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1186 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
266 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
1.5293 |