National Provider Identifier [NPI]: |
1497713861 |
Last Name Of The Provider |
LU |
First Name Of The Provider |
LI-HONG |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2802 PAPERMILL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WYOMISSING |
Zip Code Of The Provider |
196101065 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
26665 |
Number Of Medicare Beneficiaries |
227 |
Total Submitted Charge Amount |
641333 |
Total Medicare Allowed Amount |
238755.16 |
Total Medicare Payment Amount |
179883.24 |
Total Medicare Standardized Payment Amount |
179514.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
25685 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
380782 |
Total Drug Medicare AllowedAmount |
137581.16 |
Total Drug Medicare PaymentAmount |
103551.69 |
Total Drug Medicare Standardized Payment Amount |
103551.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
980 |
Number Of Medicare Beneficiaries With Medical Services |
226 |
Total Medical Submitted Charge Amount |
260551 |
Total Medical Medicare Allowed Amount |
101174 |
Total Medical Medicare Payment Amount |
76331.55 |
Total Medical Medicare Standardized Payment Amount |
75962.64 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
60 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
131 |
Number Of Male Beneficiaries |
96 |
Number Of Non Hispanic White Beneficiaries |
191 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
164 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
1.7463 |