National Provider Identifier [NPI]: |
1083678601 |
Last Name Of The Provider |
ZHANG |
First Name Of The Provider |
XIAOGANG |
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 |
601 JOHN ST |
Street Address 2 Of The Provider |
SUITE M-170 |
City Of The Provider |
KALAMAZOO |
Zip Code Of The Provider |
490075341 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
120 |
Number Of Services |
5213 |
Number Of Medicare Beneficiaries |
679 |
Total Submitted Charge Amount |
829964.53 |
Total Medicare Allowed Amount |
243103.25 |
Total Medicare Payment Amount |
181550.65 |
Total Medicare Standardized Payment Amount |
188215.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
302 |
Number Of Medicare Beneficiaries With Drug Services |
144 |
Total Drug Submitted ChargeAmount |
6879.91 |
Total Drug Medicare AllowedAmount |
3625.94 |
Total Drug Medicare PaymentAmount |
3334.02 |
Total Drug Medicare Standardized Payment Amount |
3334.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
4911 |
Number Of Medicare Beneficiaries With Medical Services |
679 |
Total Medical Submitted Charge Amount |
823084.62 |
Total Medical Medicare Allowed Amount |
239477.31 |
Total Medical Medicare Payment Amount |
178216.63 |
Total Medical Medicare Standardized Payment Amount |
184881.93 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
213 |
Number Of Beneficiaries Age 75 to 84 |
207 |
Number Of Beneficiaries Age Greater 84 |
188 |
Number Of Female Beneficiaries |
408 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
658 |
Number Of Black or African American Beneficiaries |
|
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 |
544 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
135 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2383 |