| National Provider Identifier [NPI]: | 1134188840 |
| Last Name Of The Provider | LIU |
| First Name Of The Provider | XIANG |
| 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 | 4755 OGLETOWN STANTON RD |
| Street Address 2 Of The Provider | DEPARTMENT OF RADIOLOGY |
| City Of The Provider | NEWARK |
| Zip Code Of The Provider | 197182200 |
| State Code Of The Provider | DE |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 100 |
| Number Of Services | 5221 |
| Number Of Medicare Beneficiaries | 3642 |
| Total Submitted Charge Amount | 669904.96 |
| Total Medicare Allowed Amount | 232549.11 |
| Total Medicare Payment Amount | 179133.49 |
| Total Medicare Standardized Payment Amount | 180529.81 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 254 |
| Number Of Medicare Beneficiaries With Drug Services | 12 |
| Total Drug Submitted ChargeAmount | 1300.51 |
| Total Drug Medicare AllowedAmount | 321.7 |
| Total Drug Medicare PaymentAmount | 252.21 |
| Total Drug Medicare Standardized Payment Amount | 252.21 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 98 |
| Number Of Medical Services | 4967 |
| Number Of Medicare Beneficiaries With Medical Services | 3635 |
| Total Medical Submitted Charge Amount | 668604.45 |
| Total Medical Medicare Allowed Amount | 232227.41 |
| Total Medical Medicare Payment Amount | 178881.28 |
| Total Medical Medicare Standardized Payment Amount | 180277.6 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 630 |
| Number Of Beneficiaries Age 65 to 74 | 1234 |
| Number Of Beneficiaries Age 75 to 84 | 1111 |
| Number Of Beneficiaries Age Greater 84 | 667 |
| Number Of Female Beneficiaries | 2071 |
| Number Of Male Beneficiaries | 1571 |
| Number Of Non Hispanic White Beneficiaries | 2765 |
| Number Of Black or African American Beneficiaries | 685 |
| Number Of AsianPacific Islander Beneficiaries | 52 |
| Number Of Hispanic Beneficiaries | 94 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2849 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 793 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 38 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 52 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 24 |
| Average HCC Risk Score Of Beneficiaries | 1.8407 |