| National Provider Identifier [NPI]: |
1659490944 |
| Last Name Of The Provider |
GAO |
| First Name Of The Provider |
XING |
| 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 |
4011 ALABAMA ST |
| Street Address 2 Of The Provider |
APT 11204 |
| City Of The Provider |
EL PASO |
| Zip Code Of The Provider |
799302400 |
| State Code Of The Provider |
TX |
| Country Code Of The Provider |
US |
| Provider Type Of The Provider |
Anesthesiology |
| Medicare Participation Indicator |
Y |
| Number Of HCPCS |
60 |
| Number Of Services |
204 |
| Number Of Medicare Beneficiaries |
181 |
| Total Submitted Charge Amount |
324620.8 |
| Total Medicare Allowed Amount |
50619.65 |
| Total Medicare Payment Amount |
38918.88 |
| Total Medicare Standardized Payment Amount |
39013.22 |
| 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 |
60 |
| Number Of Medical Services |
204 |
| Number Of Medicare Beneficiaries With Medical Services |
181 |
| Total Medical Submitted Charge Amount |
324620.8 |
| Total Medical Medicare Allowed Amount |
50619.65 |
| Total Medical Medicare Payment Amount |
38918.88 |
| Total Medical Medicare Standardized Payment Amount |
39013.22 |
| Average Age Of Beneficiaries |
74 |
| Number Of Beneficiaries Age Less65 |
22 |
| Number Of Beneficiaries Age 65 to 74 |
79 |
| Number Of Beneficiaries Age 75 to 84 |
46 |
| Number Of Beneficiaries Age Greater 84 |
34 |
| Number Of Female Beneficiaries |
87 |
| Number Of Male Beneficiaries |
94 |
| Number Of Non Hispanic White Beneficiaries |
135 |
| Number Of Black or African American Beneficiaries |
|
| Number Of AsianPacific Islander Beneficiaries |
13 |
| Number Of Hispanic Beneficiaries |
21 |
| Number Of American Indian Alaska Native Beneficiaries |
0 |
| Number Of Beneficiaries With Race Not Else where Classified |
|
| Number Of Beneficiaries With Medicare Only Entitlement |
118 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
| Percent Of With Atrial Fibrillation |
19 |
| Percent Of With Alzheimers Disease or Dementia |
17 |
| Percent Of With Asthma |
8 |
| Percent Of With Cancer |
20 |
| Percent Of With Heart Failure |
31 |
| Percent Of With Chronic Kidney Disease |
43 |
| Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
| Percent Of With Depression |
29 |
| Percent Of With Diabetes |
45 |
| Percent Of With Hyperlipidemia |
66 |
| Percent Of With Hypertension |
75 |
| Percent Of With Ischemic Heart Disease |
48 |
| Percent Of With Osteoporosis |
10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
| Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
| Percent Of With Stroke |
9 |
| Average HCC Risk Score Of Beneficiaries |
2.1108 |