| National Provider Identifier [NPI]: |
1013207935 |
| Last Name Of The Provider |
XING |
| First Name Of The Provider |
DEYIN |
| Middle Initial Of The Provider |
|
| Credentials Of The Provider |
M.D. |
| Gender Of The Provider |
M |
| Entity Type Of The Provider |
I |
| Street Address 1 Of The Provider |
619 19TH ST S |
| Street Address 2 Of The Provider |
|
| City Of The Provider |
BIRMINGHAM |
| Zip Code Of The Provider |
352491900 |
| State Code Of The Provider |
AL |
| Country Code Of The Provider |
US |
| Provider Type Of The Provider |
Pathology |
| Medicare Participation Indicator |
Y |
| Number Of HCPCS |
9 |
| Number Of Services |
82 |
| Number Of Medicare Beneficiaries |
33 |
| Total Submitted Charge Amount |
14624 |
| Total Medicare Allowed Amount |
4134.79 |
| Total Medicare Payment Amount |
3241.76 |
| Total Medicare Standardized Payment Amount |
2384.19 |
| 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 |
9 |
| Number Of Medical Services |
82 |
| Number Of Medicare Beneficiaries With Medical Services |
33 |
| Total Medical Submitted Charge Amount |
14624 |
| Total Medical Medicare Allowed Amount |
4134.79 |
| Total Medical Medicare Payment Amount |
3241.76 |
| Total Medical Medicare Standardized Payment Amount |
2384.19 |
| Average Age Of Beneficiaries |
62 |
| Number Of Beneficiaries Age Less65 |
|
| Number Of Beneficiaries Age 65 to 74 |
16 |
| Number Of Beneficiaries Age 75 to 84 |
|
| Number Of Beneficiaries Age Greater 84 |
|
| Number Of Female Beneficiaries |
33 |
| Number Of Male Beneficiaries |
0 |
| Number Of Non Hispanic White Beneficiaries |
|
| Number Of Black or African American Beneficiaries |
17 |
| Number Of AsianPacific Islander Beneficiaries |
|
| Number Of Hispanic Beneficiaries |
|
| Number Of American Indian Alaska Native Beneficiaries |
|
| Number Of Beneficiaries With Race Not Else where Classified |
|
| Number Of Beneficiaries With Medicare Only Entitlement |
19 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
| Percent Of With Atrial Fibrillation |
0 |
| Percent Of With Alzheimers Disease or Dementia |
|
| Percent Of With Asthma |
|
| Percent Of With Cancer |
|
| Percent Of With Heart Failure |
|
| Percent Of With Chronic Kidney Disease |
|
| Percent Of With Chronic Obstructive Pulmonary Disease |
|
| Percent Of With Depression |
|
| Percent Of With Diabetes |
|
| Percent Of With Hyperlipidemia |
45 |
| Percent Of With Hypertension |
64 |
| Percent Of With Ischemic Heart Disease |
|
| Percent Of With Osteoporosis |
|
| Percent Of With Rheumatoid Arthritis Osteoarthritis |
|
| Percent Of With Schizophrenia Other PsychoticDisorders |
|
| Percent Of With Stroke |
0 |
| Average HCC Risk Score Of Beneficiaries |
1.1387 |