National Provider Identifier [NPI]: |
1235179870 |
Last Name Of The Provider |
HUANG |
First Name Of The Provider |
XIAOGUANG |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D., PHD. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
345 9TH ST |
Street Address 2 Of The Provider |
SUITE 307 |
City Of The Provider |
OAKLAND |
Zip Code Of The Provider |
946076522 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
6575 |
Number Of Medicare Beneficiaries |
743 |
Total Submitted Charge Amount |
681962 |
Total Medicare Allowed Amount |
493782.66 |
Total Medicare Payment Amount |
346161.83 |
Total Medicare Standardized Payment Amount |
301396.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
672 |
Number Of Medicare Beneficiaries With Drug Services |
470 |
Total Drug Submitted ChargeAmount |
14407 |
Total Drug Medicare AllowedAmount |
8633.86 |
Total Drug Medicare PaymentAmount |
8382.67 |
Total Drug Medicare Standardized Payment Amount |
8382.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
5903 |
Number Of Medicare Beneficiaries With Medical Services |
743 |
Total Medical Submitted Charge Amount |
667555 |
Total Medical Medicare Allowed Amount |
485148.8 |
Total Medical Medicare Payment Amount |
337779.16 |
Total Medical Medicare Standardized Payment Amount |
293014.21 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
186 |
Number Of Beneficiaries Age 75 to 84 |
349 |
Number Of Beneficiaries Age Greater 84 |
192 |
Number Of Female Beneficiaries |
431 |
Number Of Male Beneficiaries |
312 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
719 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
72 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
671 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
5 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.0276 |