National Provider Identifier [NPI]: |
1255457271 |
Last Name Of The Provider |
ZHOU |
First Name Of The Provider |
YIHUA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3635 VISTA AT GRAND |
Street Address 2 Of The Provider |
RADIOLOGY DEPT - SLUH |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631100250 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
2278 |
Number Of Medicare Beneficiaries |
1189 |
Total Submitted Charge Amount |
358714 |
Total Medicare Allowed Amount |
131323.99 |
Total Medicare Payment Amount |
96660.54 |
Total Medicare Standardized Payment Amount |
101218.68 |
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 |
47 |
Number Of Medical Services |
2278 |
Number Of Medicare Beneficiaries With Medical Services |
1189 |
Total Medical Submitted Charge Amount |
358714 |
Total Medical Medicare Allowed Amount |
131323.99 |
Total Medical Medicare Payment Amount |
96660.54 |
Total Medical Medicare Standardized Payment Amount |
101218.68 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
418 |
Number Of Beneficiaries Age 65 to 74 |
378 |
Number Of Beneficiaries Age 75 to 84 |
278 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
599 |
Number Of Male Beneficiaries |
590 |
Number Of Non Hispanic White Beneficiaries |
698 |
Number Of Black or African American Beneficiaries |
457 |
Number Of AsianPacific Islander Beneficiaries |
14 |
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 |
637 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
552 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
28 |
Average HCC Risk Score Of Beneficiaries |
1.9884 |