National Provider Identifier [NPI]: |
1285605576 |
Last Name Of The Provider |
ZHOU |
First Name Of The Provider |
XIAO |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
932 HUNGERFORD DR |
Street Address 2 Of The Provider |
SUITE 11A |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208501750 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
12 |
Number Of Services |
2269 |
Number Of Medicare Beneficiaries |
318 |
Total Submitted Charge Amount |
169095 |
Total Medicare Allowed Amount |
143409.89 |
Total Medicare Payment Amount |
96892.28 |
Total Medicare Standardized Payment Amount |
85682.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
110 |
Number Of Medicare Beneficiaries With Drug Services |
104 |
Total Drug Submitted ChargeAmount |
4750 |
Total Drug Medicare AllowedAmount |
2048.31 |
Total Drug Medicare PaymentAmount |
2007.39 |
Total Drug Medicare Standardized Payment Amount |
2007.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
10 |
Number Of Medical Services |
2159 |
Number Of Medicare Beneficiaries With Medical Services |
318 |
Total Medical Submitted Charge Amount |
164345 |
Total Medical Medicare Allowed Amount |
141361.58 |
Total Medical Medicare Payment Amount |
94884.89 |
Total Medical Medicare Standardized Payment Amount |
83675.21 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
150 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
181 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
62 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
256 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
|
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
4 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
14 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9531 |