National Provider Identifier [NPI]: |
1609087600 |
Last Name Of The Provider |
MAO |
First Name Of The Provider |
ZHI |
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 |
1600 COIT RD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
PLANO |
Zip Code Of The Provider |
750756174 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
6042 |
Number Of Medicare Beneficiaries |
605 |
Total Submitted Charge Amount |
809153 |
Total Medicare Allowed Amount |
349352.93 |
Total Medicare Payment Amount |
267133.84 |
Total Medicare Standardized Payment Amount |
278580.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2755 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
31920 |
Total Drug Medicare AllowedAmount |
9033.45 |
Total Drug Medicare PaymentAmount |
7080.59 |
Total Drug Medicare Standardized Payment Amount |
7080.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
3287 |
Number Of Medicare Beneficiaries With Medical Services |
605 |
Total Medical Submitted Charge Amount |
777233 |
Total Medical Medicare Allowed Amount |
340319.48 |
Total Medical Medicare Payment Amount |
260053.25 |
Total Medical Medicare Standardized Payment Amount |
271499.42 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
212 |
Number Of Beneficiaries Age Greater 84 |
124 |
Number Of Female Beneficiaries |
322 |
Number Of Male Beneficiaries |
283 |
Number Of Non Hispanic White Beneficiaries |
398 |
Number Of Black or African American Beneficiaries |
81 |
Number Of AsianPacific Islander Beneficiaries |
61 |
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
435 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
170 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
3.4412 |