National Provider Identifier [NPI]: |
1932128717 |
Last Name Of The Provider |
ZHOU |
First Name Of The Provider |
LINQIU |
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 |
730 N BROAD ST |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
WOODBURY |
Zip Code Of The Provider |
080961796 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
2154 |
Number Of Medicare Beneficiaries |
218 |
Total Submitted Charge Amount |
847485 |
Total Medicare Allowed Amount |
184007.21 |
Total Medicare Payment Amount |
138248.03 |
Total Medicare Standardized Payment Amount |
123787.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
263 |
Number Of Medicare Beneficiaries With Drug Services |
123 |
Total Drug Submitted ChargeAmount |
12050 |
Total Drug Medicare AllowedAmount |
798.66 |
Total Drug Medicare PaymentAmount |
621.8 |
Total Drug Medicare Standardized Payment Amount |
621.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
1891 |
Number Of Medicare Beneficiaries With Medical Services |
218 |
Total Medical Submitted Charge Amount |
835435 |
Total Medical Medicare Allowed Amount |
183208.55 |
Total Medical Medicare Payment Amount |
137626.23 |
Total Medical Medicare Standardized Payment Amount |
123165.85 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
65 |
Number Of Beneficiaries Age 75 to 84 |
51 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
132 |
Number Of Male Beneficiaries |
86 |
Number Of Non Hispanic White Beneficiaries |
182 |
Number Of Black or African American Beneficiaries |
|
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 |
176 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.25 |