National Provider Identifier [NPI]: |
1699939447 |
Last Name Of The Provider |
ZHANG |
First Name Of The Provider |
ZAIXIANG |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
28 CRESECENT ST. |
Street Address 2 Of The Provider |
DEPARTMENT OF RADIOLOGY |
City Of The Provider |
MIDDLETOWN |
Zip Code Of The Provider |
06457 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
151 |
Number Of Services |
5322 |
Number Of Medicare Beneficiaries |
3193 |
Total Submitted Charge Amount |
745496.5 |
Total Medicare Allowed Amount |
233756.83 |
Total Medicare Payment Amount |
179884.98 |
Total Medicare Standardized Payment Amount |
171331.09 |
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 |
151 |
Number Of Medical Services |
5322 |
Number Of Medicare Beneficiaries With Medical Services |
3193 |
Total Medical Submitted Charge Amount |
745496.5 |
Total Medical Medicare Allowed Amount |
233756.83 |
Total Medical Medicare Payment Amount |
179884.98 |
Total Medical Medicare Standardized Payment Amount |
171331.09 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
481 |
Number Of Beneficiaries Age 65 to 74 |
1092 |
Number Of Beneficiaries Age 75 to 84 |
974 |
Number Of Beneficiaries Age Greater 84 |
646 |
Number Of Female Beneficiaries |
2022 |
Number Of Male Beneficiaries |
1171 |
Number Of Non Hispanic White Beneficiaries |
2943 |
Number Of Black or African American Beneficiaries |
122 |
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 |
51 |
Number Of Beneficiaries With Medicare Only Entitlement |
2273 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
920 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4128 |