National Provider Identifier [NPI]: |
1831201128 |
Last Name Of The Provider |
WU |
First Name Of The Provider |
NING |
Middle Initial Of The Provider |
Z |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
22285 PEPPER RD |
Street Address 2 Of The Provider |
#201 |
City Of The Provider |
LAKE BARRINGTON |
Zip Code Of The Provider |
600100301 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
120 |
Number Of Services |
7533 |
Number Of Medicare Beneficiaries |
1147 |
Total Submitted Charge Amount |
1510282.75 |
Total Medicare Allowed Amount |
474452.25 |
Total Medicare Payment Amount |
360882.17 |
Total Medicare Standardized Payment Amount |
354250.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2747 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
194546 |
Total Drug Medicare AllowedAmount |
52384.74 |
Total Drug Medicare PaymentAmount |
40797 |
Total Drug Medicare Standardized Payment Amount |
40797 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
4786 |
Number Of Medicare Beneficiaries With Medical Services |
1147 |
Total Medical Submitted Charge Amount |
1315736.75 |
Total Medical Medicare Allowed Amount |
422067.51 |
Total Medical Medicare Payment Amount |
320085.17 |
Total Medical Medicare Standardized Payment Amount |
313453.61 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
524 |
Number Of Beneficiaries Age 75 to 84 |
395 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
253 |
Number Of Male Beneficiaries |
894 |
Number Of Non Hispanic White Beneficiaries |
1084 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1083 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2971 |