National Provider Identifier [NPI]: |
1629271507 |
Last Name Of The Provider |
ZHU |
First Name Of The Provider |
JIAKAI |
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 |
600 RIDGELY AVE |
Street Address 2 Of The Provider |
SUITE 130 |
City Of The Provider |
ANNAPOLIS |
Zip Code Of The Provider |
214011001 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
6405 |
Number Of Medicare Beneficiaries |
909 |
Total Submitted Charge Amount |
940850 |
Total Medicare Allowed Amount |
449589.23 |
Total Medicare Payment Amount |
340530.65 |
Total Medicare Standardized Payment Amount |
333076.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2798 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
387090 |
Total Drug Medicare AllowedAmount |
206010.84 |
Total Drug Medicare PaymentAmount |
159208.79 |
Total Drug Medicare Standardized Payment Amount |
159208.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
3607 |
Number Of Medicare Beneficiaries With Medical Services |
909 |
Total Medical Submitted Charge Amount |
553760 |
Total Medical Medicare Allowed Amount |
243578.39 |
Total Medical Medicare Payment Amount |
181321.86 |
Total Medical Medicare Standardized Payment Amount |
173867.69 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
402 |
Number Of Beneficiaries Age 75 to 84 |
300 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
335 |
Number Of Male Beneficiaries |
574 |
Number Of Non Hispanic White Beneficiaries |
793 |
Number Of Black or African American Beneficiaries |
90 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
826 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3189 |