National Provider Identifier [NPI]: |
1710925904 |
Last Name Of The Provider |
LIU |
First Name Of The Provider |
XIUSHI |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
220 S 1ST ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALHAMBRA |
Zip Code Of The Provider |
918013705 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
3781 |
Number Of Medicare Beneficiaries |
1162 |
Total Submitted Charge Amount |
1432920 |
Total Medicare Allowed Amount |
480106.23 |
Total Medicare Payment Amount |
358249.93 |
Total Medicare Standardized Payment Amount |
330533.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
73 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
1269 |
Total Drug Medicare AllowedAmount |
338.91 |
Total Drug Medicare PaymentAmount |
269.03 |
Total Drug Medicare Standardized Payment Amount |
269.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
3708 |
Number Of Medicare Beneficiaries With Medical Services |
1162 |
Total Medical Submitted Charge Amount |
1431651 |
Total Medical Medicare Allowed Amount |
479767.32 |
Total Medical Medicare Payment Amount |
357980.9 |
Total Medical Medicare Standardized Payment Amount |
330264.79 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
345 |
Number Of Beneficiaries Age 75 to 84 |
441 |
Number Of Beneficiaries Age Greater 84 |
284 |
Number Of Female Beneficiaries |
627 |
Number Of Male Beneficiaries |
535 |
Number Of Non Hispanic White Beneficiaries |
143 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
694 |
Number Of Hispanic Beneficiaries |
270 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
381 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
781 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.1759 |