National Provider Identifier [NPI]: |
1205957867 |
Last Name Of The Provider |
HUANG |
First Name Of The Provider |
NANCY |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
752 N HIGH POINT RD |
Street Address 2 Of The Provider |
DEAN CLINIC |
City Of The Provider |
MADISON |
Zip Code Of The Provider |
537172236 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
3420 |
Number Of Medicare Beneficiaries |
498 |
Total Submitted Charge Amount |
467412.38 |
Total Medicare Allowed Amount |
125158.51 |
Total Medicare Payment Amount |
94667.66 |
Total Medicare Standardized Payment Amount |
98016.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
105 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
5584 |
Total Drug Medicare AllowedAmount |
3085.6 |
Total Drug Medicare PaymentAmount |
2968.51 |
Total Drug Medicare Standardized Payment Amount |
2968.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
3315 |
Number Of Medicare Beneficiaries With Medical Services |
498 |
Total Medical Submitted Charge Amount |
461828.38 |
Total Medical Medicare Allowed Amount |
122072.91 |
Total Medical Medicare Payment Amount |
91699.15 |
Total Medical Medicare Standardized Payment Amount |
95047.75 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
242 |
Number Of Beneficiaries Age 75 to 84 |
139 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
393 |
Number Of Male Beneficiaries |
105 |
Number Of Non Hispanic White Beneficiaries |
468 |
Number Of Black or African American Beneficiaries |
11 |
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 |
455 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
40 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8537 |