National Provider Identifier [NPI]: |
1558462424 |
Last Name Of The Provider |
ZHANG |
First Name Of The Provider |
HAO |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1700 E CESAR E CHAVEZ AVE |
Street Address 2 Of The Provider |
SUITE 1200 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900332424 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
43604 |
Number Of Medicare Beneficiaries |
598 |
Total Submitted Charge Amount |
1591262.42 |
Total Medicare Allowed Amount |
797009.46 |
Total Medicare Payment Amount |
618586.99 |
Total Medicare Standardized Payment Amount |
584089.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
52 |
Number Of Drug Services |
37705 |
Number Of Medicare Beneficiaries With Drug Services |
87 |
Total Drug Submitted ChargeAmount |
887853.42 |
Total Drug Medicare AllowedAmount |
340603.68 |
Total Drug Medicare PaymentAmount |
266788.11 |
Total Drug Medicare Standardized Payment Amount |
266788.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
5899 |
Number Of Medicare Beneficiaries With Medical Services |
598 |
Total Medical Submitted Charge Amount |
703409 |
Total Medical Medicare Allowed Amount |
456405.78 |
Total Medical Medicare Payment Amount |
351798.88 |
Total Medical Medicare Standardized Payment Amount |
317301.1 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
217 |
Number Of Beneficiaries Age 75 to 84 |
158 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
355 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
100 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
50 |
Number Of Hispanic Beneficiaries |
373 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
75 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
523 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
3.2722 |