| National Provider Identifier [NPI]: | 1326092636 |
| Last Name Of The Provider | ZHANG |
| First Name Of The Provider | FENG |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 901 MACARTHUR BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | MUNSTER |
| Zip Code Of The Provider | 46321 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 176 |
| Number Of Services | 7813 |
| Number Of Medicare Beneficiaries | 4941 |
| Total Submitted Charge Amount | 1161242 |
| Total Medicare Allowed Amount | 270236.43 |
| Total Medicare Payment Amount | 202713.94 |
| Total Medicare Standardized Payment Amount | 208798.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 176 |
| Number Of Medical Services | 7813 |
| Number Of Medicare Beneficiaries With Medical Services | 4941 |
| Total Medical Submitted Charge Amount | 1161242 |
| Total Medical Medicare Allowed Amount | 270236.43 |
| Total Medical Medicare Payment Amount | 202713.94 |
| Total Medical Medicare Standardized Payment Amount | 208798.96 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 903 |
| Number Of Beneficiaries Age 65 to 74 | 1695 |
| Number Of Beneficiaries Age 75 to 84 | 1471 |
| Number Of Beneficiaries Age Greater 84 | 872 |
| Number Of Female Beneficiaries | 3014 |
| Number Of Male Beneficiaries | 1927 |
| Number Of Non Hispanic White Beneficiaries | 3569 |
| Number Of Black or African American Beneficiaries | 717 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 595 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3799 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1142 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 45 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 2.0298 |