National Provider Identifier [NPI]: |
1770538563 |
Last Name Of The Provider |
ZHOU |
First Name Of The Provider |
HUA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1539 ATWOOD AVE |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
JOHNSTON |
Zip Code Of The Provider |
029193262 |
State Code Of The Provider |
RI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
4895 |
Number Of Medicare Beneficiaries |
922 |
Total Submitted Charge Amount |
648338 |
Total Medicare Allowed Amount |
347538.28 |
Total Medicare Payment Amount |
258492.72 |
Total Medicare Standardized Payment Amount |
248448.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
82 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
17372 |
Total Drug Medicare AllowedAmount |
16908.4 |
Total Drug Medicare PaymentAmount |
12741.93 |
Total Drug Medicare Standardized Payment Amount |
12741.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
4813 |
Number Of Medicare Beneficiaries With Medical Services |
922 |
Total Medical Submitted Charge Amount |
630966 |
Total Medical Medicare Allowed Amount |
330629.88 |
Total Medical Medicare Payment Amount |
245750.79 |
Total Medical Medicare Standardized Payment Amount |
235706.69 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
410 |
Number Of Beneficiaries Age 75 to 84 |
273 |
Number Of Beneficiaries Age Greater 84 |
150 |
Number Of Female Beneficiaries |
547 |
Number Of Male Beneficiaries |
375 |
Number Of Non Hispanic White Beneficiaries |
831 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
741 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
181 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0937 |