National Provider Identifier [NPI]: |
1649216151 |
Last Name Of The Provider |
XIONG |
First Name Of The Provider |
LIN |
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 |
1601 LAMY LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONROE |
Zip Code Of The Provider |
712013735 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
187 |
Number Of Services |
11654 |
Number Of Medicare Beneficiaries |
5853 |
Total Submitted Charge Amount |
1115054 |
Total Medicare Allowed Amount |
284298.26 |
Total Medicare Payment Amount |
214366.28 |
Total Medicare Standardized Payment Amount |
224760.61 |
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 |
187 |
Number Of Medical Services |
11654 |
Number Of Medicare Beneficiaries With Medical Services |
5853 |
Total Medical Submitted Charge Amount |
1115054 |
Total Medical Medicare Allowed Amount |
284298.26 |
Total Medical Medicare Payment Amount |
214366.28 |
Total Medical Medicare Standardized Payment Amount |
224760.61 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
1116 |
Number Of Beneficiaries Age 65 to 74 |
2115 |
Number Of Beneficiaries Age 75 to 84 |
1792 |
Number Of Beneficiaries Age Greater 84 |
830 |
Number Of Female Beneficiaries |
3431 |
Number Of Male Beneficiaries |
2422 |
Number Of Non Hispanic White Beneficiaries |
4275 |
Number Of Black or African American Beneficiaries |
1521 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
3729 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2124 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8214 |