National Provider Identifier [NPI]: |
1801909759 |
Last Name Of The Provider |
JIANG |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
70 PLEASANT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTH WEYMOUTH |
Zip Code Of The Provider |
021902427 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
12036.8 |
Number Of Medicare Beneficiaries |
3208 |
Total Submitted Charge Amount |
1946216.2 |
Total Medicare Allowed Amount |
675733.71 |
Total Medicare Payment Amount |
504516.94 |
Total Medicare Standardized Payment Amount |
472883 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2083.8 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
11253.2 |
Total Drug Medicare AllowedAmount |
8162.77 |
Total Drug Medicare PaymentAmount |
6399.5 |
Total Drug Medicare Standardized Payment Amount |
6399.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
9953 |
Number Of Medicare Beneficiaries With Medical Services |
3208 |
Total Medical Submitted Charge Amount |
1934963 |
Total Medical Medicare Allowed Amount |
667570.94 |
Total Medical Medicare Payment Amount |
498117.44 |
Total Medical Medicare Standardized Payment Amount |
466483.5 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
334 |
Number Of Beneficiaries Age 65 to 74 |
995 |
Number Of Beneficiaries Age 75 to 84 |
1092 |
Number Of Beneficiaries Age Greater 84 |
787 |
Number Of Female Beneficiaries |
1702 |
Number Of Male Beneficiaries |
1506 |
Number Of Non Hispanic White Beneficiaries |
3074 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
50 |
Number Of Beneficiaries With Medicare Only Entitlement |
2567 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
641 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8003 |