| National Provider Identifier [NPI]: |
1831166917 |
| Last Name Of The Provider |
XING |
| First Name Of The Provider |
JIAN |
| Middle Initial Of The Provider |
|
| Credentials Of The Provider |
M.D. |
| Gender Of The Provider |
M |
| Entity Type Of The Provider |
I |
| Street Address 1 Of The Provider |
6465 S YALE AVE |
| Street Address 2 Of The Provider |
STE 704 |
| City Of The Provider |
TULSA |
| Zip Code Of The Provider |
741367822 |
| State Code Of The Provider |
OK |
| Country Code Of The Provider |
US |
| Provider Type Of The Provider |
General Practice |
| Medicare Participation Indicator |
Y |
| Number Of HCPCS |
54 |
| Number Of Services |
2066 |
| Number Of Medicare Beneficiaries |
410 |
| Total Submitted Charge Amount |
329044 |
| Total Medicare Allowed Amount |
168757.15 |
| Total Medicare Payment Amount |
121883.13 |
| Total Medicare Standardized Payment Amount |
130280.27 |
| Drug Suppress Indicator |
|
| Number Of HCPCS Associated With Drug Services |
9 |
| Number Of Drug Services |
109 |
| Number Of Medicare Beneficiaries With Drug Services |
53 |
| Total Drug Submitted ChargeAmount |
1601 |
| Total Drug Medicare AllowedAmount |
820.33 |
| Total Drug Medicare PaymentAmount |
769.63 |
| Total Drug Medicare Standardized Payment Amount |
769.63 |
| Medical SuppressIndicator |
|
| Number Of HCPCS Associated With MedicalServices |
45 |
| Number Of Medical Services |
1957 |
| Number Of Medicare Beneficiaries With Medical Services |
410 |
| Total Medical Submitted Charge Amount |
327443 |
| Total Medical Medicare Allowed Amount |
167936.82 |
| Total Medical Medicare Payment Amount |
121113.5 |
| Total Medical Medicare Standardized Payment Amount |
129510.64 |
| Average Age Of Beneficiaries |
71 |
| Number Of Beneficiaries Age Less65 |
87 |
| Number Of Beneficiaries Age 65 to 74 |
160 |
| Number Of Beneficiaries Age 75 to 84 |
112 |
| Number Of Beneficiaries Age Greater 84 |
51 |
| Number Of Female Beneficiaries |
229 |
| Number Of Male Beneficiaries |
181 |
| Number Of Non Hispanic White Beneficiaries |
320 |
| Number Of Black or African American Beneficiaries |
37 |
| Number Of AsianPacific Islander Beneficiaries |
|
| Number Of Hispanic Beneficiaries |
|
| Number Of American Indian Alaska Native Beneficiaries |
27 |
| Number Of Beneficiaries With Race Not Else where Classified |
|
| Number Of Beneficiaries With Medicare Only Entitlement |
312 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement |
98 |
| Percent Of With Atrial Fibrillation |
14 |
| Percent Of With Alzheimers Disease or Dementia |
19 |
| Percent Of With Asthma |
13 |
| Percent Of With Cancer |
10 |
| Percent Of With Heart Failure |
36 |
| Percent Of With Chronic Kidney Disease |
42 |
| Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
| Percent Of With Depression |
38 |
| Percent Of With Diabetes |
40 |
| Percent Of With Hyperlipidemia |
50 |
| Percent Of With Hypertension |
75 |
| Percent Of With Ischemic Heart Disease |
46 |
| Percent Of With Osteoporosis |
16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
| Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
| Percent Of With Stroke |
11 |
| Average HCC Risk Score Of Beneficiaries |
1.7744 |