National Provider Identifier [NPI]: |
1043486954 |
Last Name Of The Provider |
ZHU |
First Name Of The Provider |
CHUNLIU |
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 |
2003 W FULTON ST |
Street Address 2 Of The Provider |
3RD FLOOR |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606122345 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
2911 |
Number Of Medicare Beneficiaries |
626 |
Total Submitted Charge Amount |
552319.36 |
Total Medicare Allowed Amount |
276527.03 |
Total Medicare Payment Amount |
197236.53 |
Total Medicare Standardized Payment Amount |
190411.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
40 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
1408.8 |
Total Drug Medicare AllowedAmount |
580 |
Total Drug Medicare PaymentAmount |
568.32 |
Total Drug Medicare Standardized Payment Amount |
568.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
13 |
Number Of Medical Services |
2871 |
Number Of Medicare Beneficiaries With Medical Services |
626 |
Total Medical Submitted Charge Amount |
550910.56 |
Total Medical Medicare Allowed Amount |
275947.03 |
Total Medical Medicare Payment Amount |
196668.21 |
Total Medical Medicare Standardized Payment Amount |
189842.97 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
152 |
Number Of Beneficiaries Age 75 to 84 |
178 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
415 |
Number Of Male Beneficiaries |
211 |
Number Of Non Hispanic White Beneficiaries |
100 |
Number Of Black or African American Beneficiaries |
392 |
Number Of AsianPacific Islander Beneficiaries |
114 |
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 |
261 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
365 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
40 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.912 |