National Provider Identifier [NPI]: |
1336389923 |
Last Name Of The Provider |
ZENG |
First Name Of The Provider |
WEIFEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9500 EUCLID AVENUE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLEVLELAND |
Zip Code Of The Provider |
441950001 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
2998 |
Number Of Medicare Beneficiaries |
1093 |
Total Submitted Charge Amount |
544127 |
Total Medicare Allowed Amount |
97559.93 |
Total Medicare Payment Amount |
76023.21 |
Total Medicare Standardized Payment Amount |
58543.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
2998 |
Number Of Medicare Beneficiaries With Medical Services |
1093 |
Total Medical Submitted Charge Amount |
544127 |
Total Medical Medicare Allowed Amount |
97559.93 |
Total Medical Medicare Payment Amount |
76023.21 |
Total Medical Medicare Standardized Payment Amount |
58543.45 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
575 |
Number Of Beneficiaries Age 75 to 84 |
319 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
620 |
Number Of Male Beneficiaries |
473 |
Number Of Non Hispanic White Beneficiaries |
882 |
Number Of Black or African American Beneficiaries |
100 |
Number Of AsianPacific Islander Beneficiaries |
56 |
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
940 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
153 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2942 |