National Provider Identifier [NPI]: |
1093801854 |
Last Name Of The Provider |
ZENG |
First Name Of The Provider |
ZHI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
316 E LAS TUNAS DR STE 102 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN GABRIEL |
Zip Code Of The Provider |
917761504 |
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 |
56 |
Number Of Services |
4952 |
Number Of Medicare Beneficiaries |
560 |
Total Submitted Charge Amount |
871006 |
Total Medicare Allowed Amount |
525359.51 |
Total Medicare Payment Amount |
410638.84 |
Total Medicare Standardized Payment Amount |
409790.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
509 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
13675 |
Total Drug Medicare AllowedAmount |
7468.63 |
Total Drug Medicare PaymentAmount |
6179.23 |
Total Drug Medicare Standardized Payment Amount |
6179.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
4443 |
Number Of Medicare Beneficiaries With Medical Services |
558 |
Total Medical Submitted Charge Amount |
857331 |
Total Medical Medicare Allowed Amount |
517890.88 |
Total Medical Medicare Payment Amount |
404459.61 |
Total Medical Medicare Standardized Payment Amount |
403610.88 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
266 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
360 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
547 |
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 |
39 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
521 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
28 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3527 |