National Provider Identifier [NPI]: |
1417001058 |
Last Name Of The Provider |
ZHUO |
First Name Of The Provider |
PHILIP |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
401 N GARFIELD AVE |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
MONTEREY PARK |
Zip Code Of The Provider |
917541201 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
2359 |
Number Of Medicare Beneficiaries |
500 |
Total Submitted Charge Amount |
351985 |
Total Medicare Allowed Amount |
241972.43 |
Total Medicare Payment Amount |
189577.22 |
Total Medicare Standardized Payment Amount |
175722.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
80 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
2650 |
Total Drug Medicare AllowedAmount |
1489.83 |
Total Drug Medicare PaymentAmount |
1459.89 |
Total Drug Medicare Standardized Payment Amount |
1459.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2279 |
Number Of Medicare Beneficiaries With Medical Services |
500 |
Total Medical Submitted Charge Amount |
349335 |
Total Medical Medicare Allowed Amount |
240482.6 |
Total Medical Medicare Payment Amount |
188117.33 |
Total Medical Medicare Standardized Payment Amount |
174262.76 |
Average Age Of Beneficiaries |
59 |
Number Of Beneficiaries Age Less65 |
282 |
Number Of Beneficiaries Age 65 to 74 |
90 |
Number Of Beneficiaries Age 75 to 84 |
74 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
238 |
Number Of Male Beneficiaries |
262 |
Number Of Non Hispanic White Beneficiaries |
166 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
200 |
Number Of Hispanic Beneficiaries |
73 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
60 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
440 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
60 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
50 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5892 |