National Provider Identifier [NPI]: |
1912973520 |
Last Name Of The Provider |
ZHENG |
First Name Of The Provider |
DAWEI |
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 |
4635 FREEPORT BLVD STE D |
Street Address 2 Of The Provider |
|
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958222048 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
9226 |
Number Of Medicare Beneficiaries |
896 |
Total Submitted Charge Amount |
745386.01 |
Total Medicare Allowed Amount |
584119.7 |
Total Medicare Payment Amount |
427381.42 |
Total Medicare Standardized Payment Amount |
408818.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1821 |
Number Of Medicare Beneficiaries With Drug Services |
469 |
Total Drug Submitted ChargeAmount |
38550.01 |
Total Drug Medicare AllowedAmount |
29849.55 |
Total Drug Medicare PaymentAmount |
25704.51 |
Total Drug Medicare Standardized Payment Amount |
25704.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
7405 |
Number Of Medicare Beneficiaries With Medical Services |
896 |
Total Medical Submitted Charge Amount |
706836 |
Total Medical Medicare Allowed Amount |
554270.15 |
Total Medical Medicare Payment Amount |
401676.91 |
Total Medical Medicare Standardized Payment Amount |
383113.87 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
312 |
Number Of Beneficiaries Age 75 to 84 |
289 |
Number Of Beneficiaries Age Greater 84 |
192 |
Number Of Female Beneficiaries |
523 |
Number Of Male Beneficiaries |
373 |
Number Of Non Hispanic White Beneficiaries |
106 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
662 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
297 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
599 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
29 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3559 |