National Provider Identifier [NPI]: |
1619945532 |
Last Name Of The Provider |
WANG |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6005 PARK AVE |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381195202 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
40465 |
Number Of Medicare Beneficiaries |
1102 |
Total Submitted Charge Amount |
4091187.51 |
Total Medicare Allowed Amount |
1557237.96 |
Total Medicare Payment Amount |
1207454.47 |
Total Medicare Standardized Payment Amount |
1231834.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
33668 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
2968466.45 |
Total Drug Medicare AllowedAmount |
1043975.2 |
Total Drug Medicare PaymentAmount |
817634.48 |
Total Drug Medicare Standardized Payment Amount |
817634.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
6797 |
Number Of Medicare Beneficiaries With Medical Services |
1102 |
Total Medical Submitted Charge Amount |
1122721.06 |
Total Medical Medicare Allowed Amount |
513262.76 |
Total Medical Medicare Payment Amount |
389819.99 |
Total Medical Medicare Standardized Payment Amount |
414199.91 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
273 |
Number Of Beneficiaries Age 65 to 74 |
330 |
Number Of Beneficiaries Age 75 to 84 |
331 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
661 |
Number Of Male Beneficiaries |
441 |
Number Of Non Hispanic White Beneficiaries |
655 |
Number Of Black or African American Beneficiaries |
424 |
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 |
748 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
354 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
38 |
Average HCC Risk Score Of Beneficiaries |
2.2884 |