Medicare Facts for Dr. Jian H. Fong, MD


National Provider Identifier [NPI]: 1760491419
Last Name Of The Provider FONG
First Name Of The Provider JIAN
Middle Initial Of The Provider H
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 619 19TH STREET SOUTH
Street Address 2 Of The Provider
City Of The Provider BIRMINGHAM
Zip Code Of The Provider 35233
State Code Of The Provider AL
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 83
Number Of Services 1365
Number Of Medicare Beneficiaries 211
Total Submitted Charge Amount 65271.65
Total Medicare Allowed Amount 39384.62
Total Medicare Payment Amount 27069.62
Total Medicare Standardized Payment Amount 29809.68
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 17
Number Of Drug Services 310
Number Of Medicare Beneficiaries With Drug Services 88
Total Drug Submitted ChargeAmount 3963.8
Total Drug Medicare AllowedAmount 1648.84
Total Drug Medicare PaymentAmount 1276.76
Total Drug Medicare Standardized Payment Amount 1276.76
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 66
Number Of Medical Services 1055
Number Of Medicare Beneficiaries With Medical Services 211
Total Medical Submitted Charge Amount 61307.85
Total Medical Medicare Allowed Amount 37735.78
Total Medical Medicare Payment Amount 25792.86
Total Medical Medicare Standardized Payment Amount 28532.92
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 33
Number Of Beneficiaries Age 65 to 74 114
Number Of Beneficiaries Age 75 to 84 48
Number Of Beneficiaries Age Greater 84 16
Number Of Female Beneficiaries 135
Number Of Male Beneficiaries 76
Number Of Non Hispanic White Beneficiaries 170
Number Of Black or African American Beneficiaries 30
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 190
Number Of Beneficiaries With Medicare Medicaid Entitlement 21
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 7
Percent Of With Cancer 9
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 22
Percent Of With Diabetes 19
Percent Of With Hyperlipidemia 46
Percent Of With Hypertension 56
Percent Of With Ischemic Heart Disease 22
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.7555

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