National Provider Identifier [NPI]: |
1578541983 |
Last Name Of The Provider |
LIANG |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4429 W 95TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
OAK LAWN |
Zip Code Of The Provider |
604532625 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
8036 |
Number Of Medicare Beneficiaries |
851 |
Total Submitted Charge Amount |
2715957.5 |
Total Medicare Allowed Amount |
1647891.49 |
Total Medicare Payment Amount |
1261026.95 |
Total Medicare Standardized Payment Amount |
1231780.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2268 |
Number Of Medicare Beneficiaries With Drug Services |
235 |
Total Drug Submitted ChargeAmount |
1070107.5 |
Total Drug Medicare AllowedAmount |
1013982.43 |
Total Drug Medicare PaymentAmount |
792943.99 |
Total Drug Medicare Standardized Payment Amount |
792943.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
5768 |
Number Of Medicare Beneficiaries With Medical Services |
851 |
Total Medical Submitted Charge Amount |
1645850 |
Total Medical Medicare Allowed Amount |
633909.06 |
Total Medical Medicare Payment Amount |
468082.96 |
Total Medical Medicare Standardized Payment Amount |
438836.45 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
312 |
Number Of Beneficiaries Age 75 to 84 |
261 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
525 |
Number Of Male Beneficiaries |
326 |
Number Of Non Hispanic White Beneficiaries |
514 |
Number Of Black or African American Beneficiaries |
203 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
113 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
646 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
205 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6393 |