National Provider Identifier [NPI]: |
1023304359 |
Last Name Of The Provider |
ZHANG |
First Name Of The Provider |
KANG |
Middle Initial Of The Provider |
X |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
104 W 5TH AVE STE 200W |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPOKANE |
Zip Code Of The Provider |
992044803 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
350 |
Number Of Medicare Beneficiaries |
164 |
Total Submitted Charge Amount |
61060 |
Total Medicare Allowed Amount |
26390.14 |
Total Medicare Payment Amount |
20500.66 |
Total Medicare Standardized Payment Amount |
20811.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
15 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
385 |
Total Drug Medicare AllowedAmount |
281.15 |
Total Drug Medicare PaymentAmount |
275.55 |
Total Drug Medicare Standardized Payment Amount |
275.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
335 |
Number Of Medicare Beneficiaries With Medical Services |
164 |
Total Medical Submitted Charge Amount |
60675 |
Total Medical Medicare Allowed Amount |
26108.99 |
Total Medical Medicare Payment Amount |
20225.11 |
Total Medical Medicare Standardized Payment Amount |
20536.09 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
48 |
Number Of Beneficiaries Age 75 to 84 |
35 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
83 |
Number Of Male Beneficiaries |
81 |
Number Of Non Hispanic White Beneficiaries |
150 |
Number Of Black or African American Beneficiaries |
|
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 |
92 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9051 |