National Provider Identifier [NPI]: |
1710169875 |
Last Name Of The Provider |
ZHOU |
First Name Of The Provider |
TIANMING |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
305 2ND AVE |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
COLLEGEVILLE |
Zip Code Of The Provider |
194262658 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
482 |
Number Of Medicare Beneficiaries |
212 |
Total Submitted Charge Amount |
61296 |
Total Medicare Allowed Amount |
46076.32 |
Total Medicare Payment Amount |
33250.28 |
Total Medicare Standardized Payment Amount |
31596.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
32 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
2126 |
Total Drug Medicare AllowedAmount |
1376.06 |
Total Drug Medicare PaymentAmount |
1322.17 |
Total Drug Medicare Standardized Payment Amount |
1322.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
450 |
Number Of Medicare Beneficiaries With Medical Services |
212 |
Total Medical Submitted Charge Amount |
59170 |
Total Medical Medicare Allowed Amount |
44700.26 |
Total Medical Medicare Payment Amount |
31928.11 |
Total Medical Medicare Standardized Payment Amount |
30274.59 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
110 |
Number Of Beneficiaries Age 75 to 84 |
57 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
94 |
Number Of Male Beneficiaries |
118 |
Number Of Non Hispanic White Beneficiaries |
196 |
Number Of Black or African American Beneficiaries |
|
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 |
197 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0499 |