National Provider Identifier [NPI]: |
1891027579 |
Last Name Of The Provider |
ZHANG |
First Name Of The Provider |
LI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1401 FORUM WAY |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
334012325 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
5993 |
Number Of Medicare Beneficiaries |
2610 |
Total Submitted Charge Amount |
620914 |
Total Medicare Allowed Amount |
365699.59 |
Total Medicare Payment Amount |
279968.91 |
Total Medicare Standardized Payment Amount |
269813.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
206 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
11330 |
Total Drug Medicare AllowedAmount |
10916.58 |
Total Drug Medicare PaymentAmount |
8252.77 |
Total Drug Medicare Standardized Payment Amount |
8252.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
5787 |
Number Of Medicare Beneficiaries With Medical Services |
2610 |
Total Medical Submitted Charge Amount |
609584 |
Total Medical Medicare Allowed Amount |
354783.01 |
Total Medical Medicare Payment Amount |
271716.14 |
Total Medical Medicare Standardized Payment Amount |
261560.6 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
307 |
Number Of Beneficiaries Age 65 to 74 |
635 |
Number Of Beneficiaries Age 75 to 84 |
902 |
Number Of Beneficiaries Age Greater 84 |
766 |
Number Of Female Beneficiaries |
1363 |
Number Of Male Beneficiaries |
1247 |
Number Of Non Hispanic White Beneficiaries |
2078 |
Number Of Black or African American Beneficiaries |
299 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
190 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1973 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
637 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.0736 |