National Provider Identifier [NPI]: |
1649241902 |
Last Name Of The Provider |
WANG |
First Name Of The Provider |
SHENG |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3121 PEACH ORCHARD RD |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
AUGUSTA |
Zip Code Of The Provider |
309063521 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
1841 |
Number Of Medicare Beneficiaries |
430 |
Total Submitted Charge Amount |
290900 |
Total Medicare Allowed Amount |
119277.04 |
Total Medicare Payment Amount |
80280.36 |
Total Medicare Standardized Payment Amount |
87355.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
170 |
Number Of Medicare Beneficiaries With Drug Services |
124 |
Total Drug Submitted ChargeAmount |
6406 |
Total Drug Medicare AllowedAmount |
3292.17 |
Total Drug Medicare PaymentAmount |
3209.96 |
Total Drug Medicare Standardized Payment Amount |
3209.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
1671 |
Number Of Medicare Beneficiaries With Medical Services |
429 |
Total Medical Submitted Charge Amount |
284494 |
Total Medical Medicare Allowed Amount |
115984.87 |
Total Medical Medicare Payment Amount |
77070.4 |
Total Medical Medicare Standardized Payment Amount |
84145.46 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
184 |
Number Of Beneficiaries Age 75 to 84 |
91 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
270 |
Number Of Male Beneficiaries |
160 |
Number Of Non Hispanic White Beneficiaries |
202 |
Number Of Black or African American Beneficiaries |
201 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
301 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
129 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0976 |