National Provider Identifier [NPI]: |
1528051257 |
Last Name Of The Provider |
WANG |
First Name Of The Provider |
XIN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
920 LAWN AVE |
Street Address 2 Of The Provider |
THE SUMMIT - SUITE 5 |
City Of The Provider |
SELLERSVILLE |
Zip Code Of The Provider |
189601560 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
1948 |
Number Of Medicare Beneficiaries |
966 |
Total Submitted Charge Amount |
333840 |
Total Medicare Allowed Amount |
214183.95 |
Total Medicare Payment Amount |
158133.46 |
Total Medicare Standardized Payment Amount |
150195.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
1948 |
Number Of Medicare Beneficiaries With Medical Services |
966 |
Total Medical Submitted Charge Amount |
333840 |
Total Medical Medicare Allowed Amount |
214183.95 |
Total Medical Medicare Payment Amount |
158133.46 |
Total Medical Medicare Standardized Payment Amount |
150195.42 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
281 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
216 |
Number Of Female Beneficiaries |
564 |
Number Of Male Beneficiaries |
402 |
Number Of Non Hispanic White Beneficiaries |
903 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
20 |
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 |
792 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
174 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
36 |
Average HCC Risk Score Of Beneficiaries |
1.6032 |