| National Provider Identifier [NPI]: |
1720089691 |
| Last Name Of The Provider |
XING |
| First Name Of The Provider |
YIGONG |
| Middle Initial Of The Provider |
P |
| Credentials Of The Provider |
M.D. |
| Gender Of The Provider |
F |
| Entity Type Of The Provider |
I |
| Street Address 1 Of The Provider |
113 WATER ST |
| Street Address 2 Of The Provider |
SUITE 213 |
| City Of The Provider |
MILFORD |
| Zip Code Of The Provider |
017573021 |
| State Code Of The Provider |
MA |
| Country Code Of The Provider |
US |
| Provider Type Of The Provider |
Anesthesiology |
| Medicare Participation Indicator |
Y |
| Number Of HCPCS |
51 |
| Number Of Services |
328 |
| Number Of Medicare Beneficiaries |
306 |
| Total Submitted Charge Amount |
241947.8 |
| Total Medicare Allowed Amount |
34949.18 |
| Total Medicare Payment Amount |
26628.77 |
| Total Medicare Standardized Payment Amount |
26823.37 |
| 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 |
51 |
| Number Of Medical Services |
328 |
| Number Of Medicare Beneficiaries With Medical Services |
306 |
| Total Medical Submitted Charge Amount |
241947.8 |
| Total Medical Medicare Allowed Amount |
34949.18 |
| Total Medical Medicare Payment Amount |
26628.77 |
| Total Medical Medicare Standardized Payment Amount |
26823.37 |
| Average Age Of Beneficiaries |
71 |
| Number Of Beneficiaries Age Less65 |
49 |
| Number Of Beneficiaries Age 65 to 74 |
153 |
| Number Of Beneficiaries Age 75 to 84 |
75 |
| Number Of Beneficiaries Age Greater 84 |
29 |
| Number Of Female Beneficiaries |
193 |
| Number Of Male Beneficiaries |
113 |
| Number Of Non Hispanic White Beneficiaries |
295 |
| 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 |
255 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
| Percent Of With Atrial Fibrillation |
13 |
| Percent Of With Alzheimers Disease or Dementia |
9 |
| Percent Of With Asthma |
10 |
| Percent Of With Cancer |
20 |
| Percent Of With Heart Failure |
16 |
| Percent Of With Chronic Kidney Disease |
21 |
| Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
| Percent Of With Depression |
25 |
| Percent Of With Diabetes |
28 |
| Percent Of With Hyperlipidemia |
60 |
| Percent Of With Hypertension |
64 |
| Percent Of With Ischemic Heart Disease |
29 |
| Percent Of With Osteoporosis |
10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
| Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
| Percent Of With Stroke |
5 |
| Average HCC Risk Score Of Beneficiaries |
1.3123 |