Medicare Facts for Dr. Zhijie Zhou, MD


National Provider Identifier [NPI]: 1942442652
Last Name Of The Provider ZHOU
First Name Of The Provider ZHIJIE
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 855 N WESTHAVEN DR
Street Address 2 Of The Provider
City Of The Provider OSHKOSH
Zip Code Of The Provider 549047668
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 63
Number Of Services 13649
Number Of Medicare Beneficiaries 515
Total Submitted Charge Amount 851745.13
Total Medicare Allowed Amount 243074.51
Total Medicare Payment Amount 178121.74
Total Medicare Standardized Payment Amount 184459.98
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 19
Number Of Drug Services 11588
Number Of Medicare Beneficiaries With Drug Services 303
Total Drug Submitted ChargeAmount 263615.13
Total Drug Medicare AllowedAmount 92015.01
Total Drug Medicare PaymentAmount 70518.71
Total Drug Medicare Standardized Payment Amount 70518.71
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 44
Number Of Medical Services 2061
Number Of Medicare Beneficiaries With Medical Services 515
Total Medical Submitted Charge Amount 588130
Total Medical Medicare Allowed Amount 151059.5
Total Medical Medicare Payment Amount 107603.03
Total Medical Medicare Standardized Payment Amount 113941.27
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 134
Number Of Beneficiaries Age 65 to 74 188
Number Of Beneficiaries Age 75 to 84 133
Number Of Beneficiaries Age Greater 84 60
Number Of Female Beneficiaries 377
Number Of Male Beneficiaries 138
Number Of Non Hispanic White Beneficiaries 495
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 403
Number Of Beneficiaries With Medicare Medicaid Entitlement 112
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 13
Percent Of With Cancer 9
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 31
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 30
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.2599

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