National Provider Identifier [NPI]: |
1144546961 |
Last Name Of The Provider |
ZHANG |
First Name Of The Provider |
YUANYUAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
121 BECKS WOODS DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
BEAR |
Zip Code Of The Provider |
197013851 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
3367 |
Number Of Medicare Beneficiaries |
1449 |
Total Submitted Charge Amount |
902720.5 |
Total Medicare Allowed Amount |
318016.31 |
Total Medicare Payment Amount |
243528.31 |
Total Medicare Standardized Payment Amount |
240872.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
214 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
11636 |
Total Drug Medicare AllowedAmount |
5839.33 |
Total Drug Medicare PaymentAmount |
4573.64 |
Total Drug Medicare Standardized Payment Amount |
4573.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
3153 |
Number Of Medicare Beneficiaries With Medical Services |
1449 |
Total Medical Submitted Charge Amount |
891084.5 |
Total Medical Medicare Allowed Amount |
312176.98 |
Total Medical Medicare Payment Amount |
238954.67 |
Total Medical Medicare Standardized Payment Amount |
236298.63 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
257 |
Number Of Beneficiaries Age 65 to 74 |
523 |
Number Of Beneficiaries Age 75 to 84 |
425 |
Number Of Beneficiaries Age Greater 84 |
244 |
Number Of Female Beneficiaries |
793 |
Number Of Male Beneficiaries |
656 |
Number Of Non Hispanic White Beneficiaries |
992 |
Number Of Black or African American Beneficiaries |
360 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1096 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
353 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.0942 |