| National Provider Identifier [NPI]: | 1326379249 |
| Last Name Of The Provider | TIAN |
| First Name Of The Provider | LIGENG |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | B.M. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1051 LOFTIS BLVD |
| Street Address 2 Of The Provider | SUITE 100 |
| City Of The Provider | NEWPORT NEWS |
| Zip Code Of The Provider | 236063069 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology/Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 165 |
| Number Of Services | 114979 |
| Number Of Medicare Beneficiaries | 676 |
| Total Submitted Charge Amount | 5681965.77 |
| Total Medicare Allowed Amount | 1540616.98 |
| Total Medicare Payment Amount | 1193258.33 |
| Total Medicare Standardized Payment Amount | 1191668.46 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 85 |
| Number Of Drug Services | 109152 |
| Number Of Medicare Beneficiaries With Drug Services | 328 |
| Total Drug Submitted ChargeAmount | 4661494.77 |
| Total Drug Medicare AllowedAmount | 1240626.03 |
| Total Drug Medicare PaymentAmount | 960403.92 |
| Total Drug Medicare Standardized Payment Amount | 960403.92 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 80 |
| Number Of Medical Services | 5827 |
| Number Of Medicare Beneficiaries With Medical Services | 676 |
| Total Medical Submitted Charge Amount | 1020471 |
| Total Medical Medicare Allowed Amount | 299990.95 |
| Total Medical Medicare Payment Amount | 232854.41 |
| Total Medical Medicare Standardized Payment Amount | 231264.54 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 103 |
| Number Of Beneficiaries Age 65 to 74 | 305 |
| Number Of Beneficiaries Age 75 to 84 | 220 |
| Number Of Beneficiaries Age Greater 84 | 48 |
| Number Of Female Beneficiaries | 381 |
| Number Of Male Beneficiaries | 295 |
| Number Of Non Hispanic White Beneficiaries | 398 |
| Number Of Black or African American Beneficiaries | 261 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 586 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 90 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 50 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 54 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.8606 |