National Provider Identifier [NPI]: |
1215196027 |
Last Name Of The Provider |
ZHANG |
First Name Of The Provider |
JINSONG |
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 |
200 BANNING ST STE 260 |
Street Address 2 Of The Provider |
INFUSION SOLUTIONS OF DELAWARE |
City Of The Provider |
DOVER |
Zip Code Of The Provider |
199043489 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
43839 |
Number Of Medicare Beneficiaries |
418 |
Total Submitted Charge Amount |
1032233.99 |
Total Medicare Allowed Amount |
780642.2 |
Total Medicare Payment Amount |
603351.68 |
Total Medicare Standardized Payment Amount |
596568.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
42019 |
Number Of Medicare Beneficiaries With Drug Services |
215 |
Total Drug Submitted ChargeAmount |
773024 |
Total Drug Medicare AllowedAmount |
605045.91 |
Total Drug Medicare PaymentAmount |
473573.3 |
Total Drug Medicare Standardized Payment Amount |
473573.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1820 |
Number Of Medicare Beneficiaries With Medical Services |
418 |
Total Medical Submitted Charge Amount |
259209.99 |
Total Medical Medicare Allowed Amount |
175596.29 |
Total Medical Medicare Payment Amount |
129778.38 |
Total Medical Medicare Standardized Payment Amount |
122995.08 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
222 |
Number Of Beneficiaries Age 75 to 84 |
106 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
326 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
345 |
Number Of Black or African American Beneficiaries |
56 |
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 |
355 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
37 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1355 |