National Provider Identifier [NPI]: |
1679580146 |
Last Name Of The Provider |
ZHOU |
First Name Of The Provider |
XIAOHUA |
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 |
619 19TH STREET SOUTH |
Street Address 2 Of The Provider |
|
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
35233 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
10458 |
Number Of Medicare Beneficiaries |
326 |
Total Submitted Charge Amount |
538052 |
Total Medicare Allowed Amount |
196218.99 |
Total Medicare Payment Amount |
146286.64 |
Total Medicare Standardized Payment Amount |
159534.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
8612 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
103371 |
Total Drug Medicare AllowedAmount |
47529.62 |
Total Drug Medicare PaymentAmount |
37280.85 |
Total Drug Medicare Standardized Payment Amount |
37280.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1846 |
Number Of Medicare Beneficiaries With Medical Services |
326 |
Total Medical Submitted Charge Amount |
434681 |
Total Medical Medicare Allowed Amount |
148689.37 |
Total Medical Medicare Payment Amount |
109005.79 |
Total Medical Medicare Standardized Payment Amount |
122253.86 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
156 |
Number Of Beneficiaries Age 65 to 74 |
102 |
Number Of Beneficiaries Age 75 to 84 |
49 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
134 |
Number Of Male Beneficiaries |
192 |
Number Of Non Hispanic White Beneficiaries |
186 |
Number Of Black or African American Beneficiaries |
|
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 |
218 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
36 |
Average HCC Risk Score Of Beneficiaries |
2.4836 |