National Provider Identifier [NPI]: |
1255491106 |
Last Name Of The Provider |
XU |
First Name Of The Provider |
ZHEHUA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
228 N GARFIELD AVE STE 203 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONTEREY PARK |
Zip Code Of The Provider |
917541709 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
1974 |
Number Of Medicare Beneficiaries |
443 |
Total Submitted Charge Amount |
249385 |
Total Medicare Allowed Amount |
142505.68 |
Total Medicare Payment Amount |
107613.73 |
Total Medicare Standardized Payment Amount |
104438.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
155 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
8345 |
Total Drug Medicare AllowedAmount |
3025.94 |
Total Drug Medicare PaymentAmount |
2940.32 |
Total Drug Medicare Standardized Payment Amount |
2940.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
1819 |
Number Of Medicare Beneficiaries With Medical Services |
443 |
Total Medical Submitted Charge Amount |
241040 |
Total Medical Medicare Allowed Amount |
139479.74 |
Total Medical Medicare Payment Amount |
104673.41 |
Total Medical Medicare Standardized Payment Amount |
101497.98 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
191 |
Number Of Beneficiaries Age 65 to 74 |
125 |
Number Of Beneficiaries Age 75 to 84 |
105 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
204 |
Number Of Male Beneficiaries |
239 |
Number Of Non Hispanic White Beneficiaries |
98 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
235 |
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
55 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
388 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
51 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
40 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.3482 |