National Provider Identifier [NPI]: |
1467441915 |
Last Name Of The Provider |
ZHOU |
First Name Of The Provider |
LARRY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1230 S HURSTBOURNE PKWY |
Street Address 2 Of The Provider |
UNIT 120 |
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402225757 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
12979 |
Number Of Medicare Beneficiaries |
660 |
Total Submitted Charge Amount |
2517611.5 |
Total Medicare Allowed Amount |
529514.5 |
Total Medicare Payment Amount |
397875.83 |
Total Medicare Standardized Payment Amount |
405360.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
6707 |
Number Of Medicare Beneficiaries With Drug Services |
296 |
Total Drug Submitted ChargeAmount |
86895.5 |
Total Drug Medicare AllowedAmount |
5104.4 |
Total Drug Medicare PaymentAmount |
3873.14 |
Total Drug Medicare Standardized Payment Amount |
3873.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
6272 |
Number Of Medicare Beneficiaries With Medical Services |
660 |
Total Medical Submitted Charge Amount |
2430716 |
Total Medical Medicare Allowed Amount |
524410.1 |
Total Medical Medicare Payment Amount |
394002.69 |
Total Medical Medicare Standardized Payment Amount |
401487.84 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
271 |
Number Of Beneficiaries Age 75 to 84 |
163 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
433 |
Number Of Male Beneficiaries |
227 |
Number Of Non Hispanic White Beneficiaries |
629 |
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 |
526 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
134 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1191 |