National Provider Identifier [NPI]: |
1790722734 |
Last Name Of The Provider |
QIAN |
First Name Of The Provider |
XIAOHUA |
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 |
75 FRANCIS STREET |
Street Address 2 Of The Provider |
BRIGHAM AND WOMEN'S HOSPITAL |
City Of The Provider |
BOSTON |
Zip Code Of The Provider |
02115 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
2283 |
Number Of Medicare Beneficiaries |
908 |
Total Submitted Charge Amount |
326222 |
Total Medicare Allowed Amount |
89406.96 |
Total Medicare Payment Amount |
69660.55 |
Total Medicare Standardized Payment Amount |
60621.82 |
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 |
30 |
Number Of Medical Services |
2283 |
Number Of Medicare Beneficiaries With Medical Services |
908 |
Total Medical Submitted Charge Amount |
326222 |
Total Medical Medicare Allowed Amount |
89406.96 |
Total Medical Medicare Payment Amount |
69660.55 |
Total Medical Medicare Standardized Payment Amount |
60621.82 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
474 |
Number Of Beneficiaries Age 75 to 84 |
230 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
503 |
Number Of Male Beneficiaries |
405 |
Number Of Non Hispanic White Beneficiaries |
760 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
702 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
206 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
35 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.6816 |