National Provider Identifier [NPI]: |
1306847447 |
Last Name Of The Provider |
WANG |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1735 SW HEALTH PKWY STE 201 |
Street Address 2 Of The Provider |
|
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341090421 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
119 |
Number Of Services |
11748 |
Number Of Medicare Beneficiaries |
625 |
Total Submitted Charge Amount |
850348.88 |
Total Medicare Allowed Amount |
419795.36 |
Total Medicare Payment Amount |
331820.85 |
Total Medicare Standardized Payment Amount |
323973.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
631 |
Number Of Medicare Beneficiaries With Drug Services |
244 |
Total Drug Submitted ChargeAmount |
22109.62 |
Total Drug Medicare AllowedAmount |
11428.64 |
Total Drug Medicare PaymentAmount |
10228.35 |
Total Drug Medicare Standardized Payment Amount |
10228.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
11117 |
Number Of Medicare Beneficiaries With Medical Services |
625 |
Total Medical Submitted Charge Amount |
828239.26 |
Total Medical Medicare Allowed Amount |
408366.72 |
Total Medical Medicare Payment Amount |
321592.5 |
Total Medical Medicare Standardized Payment Amount |
313744.86 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
295 |
Number Of Beneficiaries Age 75 to 84 |
244 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
289 |
Number Of Male Beneficiaries |
336 |
Number Of Non Hispanic White Beneficiaries |
572 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
598 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9696 |