National Provider Identifier [NPI]: |
1093706483 |
Last Name Of The Provider |
HUANG |
First Name Of The Provider |
NING |
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 |
1521 S STAPLES ST |
Street Address 2 Of The Provider |
SUITES 301 & 304 |
City Of The Provider |
CORPUS CHRISTI |
Zip Code Of The Provider |
784043150 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
182 |
Number Of Services |
42435 |
Number Of Medicare Beneficiaries |
2544 |
Total Submitted Charge Amount |
1748789.8 |
Total Medicare Allowed Amount |
451776.72 |
Total Medicare Payment Amount |
337549.43 |
Total Medicare Standardized Payment Amount |
372004.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
38257 |
Number Of Medicare Beneficiaries With Drug Services |
618 |
Total Drug Submitted ChargeAmount |
33104.3 |
Total Drug Medicare AllowedAmount |
15628.56 |
Total Drug Medicare PaymentAmount |
12020.07 |
Total Drug Medicare Standardized Payment Amount |
12020.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
175 |
Number Of Medical Services |
4178 |
Number Of Medicare Beneficiaries With Medical Services |
2544 |
Total Medical Submitted Charge Amount |
1715685.5 |
Total Medical Medicare Allowed Amount |
436148.16 |
Total Medical Medicare Payment Amount |
325529.36 |
Total Medical Medicare Standardized Payment Amount |
359984.91 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
468 |
Number Of Beneficiaries Age 65 to 74 |
985 |
Number Of Beneficiaries Age 75 to 84 |
710 |
Number Of Beneficiaries Age Greater 84 |
381 |
Number Of Female Beneficiaries |
1512 |
Number Of Male Beneficiaries |
1032 |
Number Of Non Hispanic White Beneficiaries |
1525 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
926 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1902 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
642 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.689 |