National Provider Identifier [NPI]: |
1457362386 |
Last Name Of The Provider |
ZHU |
First Name Of The Provider |
JIE |
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 |
100 BIDDLE AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
NEWARK |
Zip Code Of The Provider |
197023982 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
5835 |
Number Of Medicare Beneficiaries |
460 |
Total Submitted Charge Amount |
1250954.88 |
Total Medicare Allowed Amount |
280991.25 |
Total Medicare Payment Amount |
213464.78 |
Total Medicare Standardized Payment Amount |
198176.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
954 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
7584.84 |
Total Drug Medicare AllowedAmount |
2780.65 |
Total Drug Medicare PaymentAmount |
1708.65 |
Total Drug Medicare Standardized Payment Amount |
1708.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
4881 |
Number Of Medicare Beneficiaries With Medical Services |
460 |
Total Medical Submitted Charge Amount |
1243370.04 |
Total Medical Medicare Allowed Amount |
278210.6 |
Total Medical Medicare Payment Amount |
211756.13 |
Total Medical Medicare Standardized Payment Amount |
196467.68 |
Average Age Of Beneficiaries |
60 |
Number Of Beneficiaries Age Less65 |
284 |
Number Of Beneficiaries Age 65 to 74 |
126 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
301 |
Number Of Male Beneficiaries |
159 |
Number Of Non Hispanic White Beneficiaries |
370 |
Number Of Black or African American Beneficiaries |
73 |
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 |
267 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
193 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
56 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7712 |