National Provider Identifier [NPI]: |
1790780716 |
Last Name Of The Provider |
QU |
First Name Of The Provider |
GUANGZHI |
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 |
2969 CURRAN DR N |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392164121 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
134 |
Number Of Services |
321129 |
Number Of Medicare Beneficiaries |
823 |
Total Submitted Charge Amount |
10592508 |
Total Medicare Allowed Amount |
4732302.18 |
Total Medicare Payment Amount |
3660688.22 |
Total Medicare Standardized Payment Amount |
3691250.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
63 |
Number Of Drug Services |
304308 |
Number Of Medicare Beneficiaries With Drug Services |
234 |
Total Drug Submitted ChargeAmount |
8826589 |
Total Drug Medicare AllowedAmount |
4073991.83 |
Total Drug Medicare PaymentAmount |
3151558.16 |
Total Drug Medicare Standardized Payment Amount |
3151558.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
16821 |
Number Of Medicare Beneficiaries With Medical Services |
823 |
Total Medical Submitted Charge Amount |
1765919 |
Total Medical Medicare Allowed Amount |
658310.35 |
Total Medical Medicare Payment Amount |
509130.06 |
Total Medical Medicare Standardized Payment Amount |
539692.75 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
153 |
Number Of Beneficiaries Age 65 to 74 |
341 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
487 |
Number Of Male Beneficiaries |
336 |
Number Of Non Hispanic White Beneficiaries |
514 |
Number Of Black or African American Beneficiaries |
296 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
621 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
202 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.01 |