| National Provider Identifier [NPI]: |
1841464369 |
| Last Name Of The Provider |
XING |
| First Name Of The Provider |
JINHONG |
| 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 |
1492 E BROAD ST |
| Street Address 2 Of The Provider |
|
| City Of The Provider |
COLUMBUS |
| Zip Code Of The Provider |
432051546 |
| State Code Of The Provider |
OH |
| Country Code Of The Provider |
US |
| Provider Type Of The Provider |
Internal Medicine |
| Medicare Participation Indicator |
Y |
| Number Of HCPCS |
24 |
| Number Of Services |
2107 |
| Number Of Medicare Beneficiaries |
899 |
| Total Submitted Charge Amount |
587980 |
| Total Medicare Allowed Amount |
242780.74 |
| Total Medicare Payment Amount |
186059.07 |
| Total Medicare Standardized Payment Amount |
192083.42 |
| 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 |
24 |
| Number Of Medical Services |
2107 |
| Number Of Medicare Beneficiaries With Medical Services |
899 |
| Total Medical Submitted Charge Amount |
587980 |
| Total Medical Medicare Allowed Amount |
242780.74 |
| Total Medical Medicare Payment Amount |
186059.07 |
| Total Medical Medicare Standardized Payment Amount |
192083.42 |
| Average Age Of Beneficiaries |
69 |
| Number Of Beneficiaries Age Less65 |
291 |
| Number Of Beneficiaries Age 65 to 74 |
267 |
| Number Of Beneficiaries Age 75 to 84 |
198 |
| Number Of Beneficiaries Age Greater 84 |
143 |
| Number Of Female Beneficiaries |
481 |
| Number Of Male Beneficiaries |
418 |
| Number Of Non Hispanic White Beneficiaries |
700 |
| Number Of Black or African American Beneficiaries |
181 |
| 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 |
454 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement |
445 |
| Percent Of With Atrial Fibrillation |
20 |
| Percent Of With Alzheimers Disease or Dementia |
23 |
| Percent Of With Asthma |
16 |
| Percent Of With Cancer |
14 |
| Percent Of With Heart Failure |
48 |
| Percent Of With Chronic Kidney Disease |
56 |
| Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
| Percent Of With Depression |
51 |
| Percent Of With Diabetes |
51 |
| Percent Of With Hyperlipidemia |
68 |
| Percent Of With Hypertension |
75 |
| Percent Of With Ischemic Heart Disease |
60 |
| Percent Of With Osteoporosis |
13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
| Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
| Percent Of With Stroke |
13 |
| Average HCC Risk Score Of Beneficiaries |
2.567 |