National Provider Identifier [NPI]: |
1912994872 |
Last Name Of The Provider |
HOU |
First Name Of The Provider |
ZHEN |
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 |
1235 SAN MARCO BLVD |
Street Address 2 Of The Provider |
3RD FLOOR |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322078554 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
18742 |
Number Of Medicare Beneficiaries |
368 |
Total Submitted Charge Amount |
1378345.85 |
Total Medicare Allowed Amount |
488297.05 |
Total Medicare Payment Amount |
376939.97 |
Total Medicare Standardized Payment Amount |
377867 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
16584 |
Number Of Medicare Beneficiaries With Drug Services |
67 |
Total Drug Submitted ChargeAmount |
708267.52 |
Total Drug Medicare AllowedAmount |
245224.44 |
Total Drug Medicare PaymentAmount |
191790.37 |
Total Drug Medicare Standardized Payment Amount |
191790.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
2158 |
Number Of Medicare Beneficiaries With Medical Services |
368 |
Total Medical Submitted Charge Amount |
670078.33 |
Total Medical Medicare Allowed Amount |
243072.61 |
Total Medical Medicare Payment Amount |
185149.6 |
Total Medical Medicare Standardized Payment Amount |
186076.63 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
115 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
225 |
Number Of Male Beneficiaries |
143 |
Number Of Non Hispanic White Beneficiaries |
202 |
Number Of Black or African American Beneficiaries |
142 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
270 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
98 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
30 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.2824 |