| National Provider Identifier [NPI]: |
1912986522 |
| Last Name Of The Provider |
XING |
| First Name Of The Provider |
SELINA |
| 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 |
620 STANTON CHRISTIANA RD STE 202 |
| Street Address 2 Of The Provider |
|
| City Of The Provider |
NEWARK |
| Zip Code Of The Provider |
197132130 |
| State Code Of The Provider |
DE |
| Country Code Of The Provider |
US |
| Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
| Medicare Participation Indicator |
Y |
| Number Of HCPCS |
57 |
| Number Of Services |
2942 |
| Number Of Medicare Beneficiaries |
372 |
| Total Submitted Charge Amount |
781078.56 |
| Total Medicare Allowed Amount |
214769 |
| Total Medicare Payment Amount |
162558.1 |
| Total Medicare Standardized Payment Amount |
154866.95 |
| Drug Suppress Indicator |
|
| Number Of HCPCS Associated With Drug Services |
5 |
| Number Of Drug Services |
264 |
| Number Of Medicare Beneficiaries With Drug Services |
43 |
| Total Drug Submitted ChargeAmount |
7599 |
| Total Drug Medicare AllowedAmount |
399.02 |
| Total Drug Medicare PaymentAmount |
312.71 |
| Total Drug Medicare Standardized Payment Amount |
312.71 |
| Medical SuppressIndicator |
|
| Number Of HCPCS Associated With MedicalServices |
52 |
| Number Of Medical Services |
2678 |
| Number Of Medicare Beneficiaries With Medical Services |
372 |
| Total Medical Submitted Charge Amount |
773479.56 |
| Total Medical Medicare Allowed Amount |
214369.98 |
| Total Medical Medicare Payment Amount |
162245.39 |
| Total Medical Medicare Standardized Payment Amount |
154554.24 |
| Average Age Of Beneficiaries |
62 |
| Number Of Beneficiaries Age Less65 |
199 |
| Number Of Beneficiaries Age 65 to 74 |
120 |
| Number Of Beneficiaries Age 75 to 84 |
|
| Number Of Beneficiaries Age Greater 84 |
|
| Number Of Female Beneficiaries |
244 |
| Number Of Male Beneficiaries |
128 |
| Number Of Non Hispanic White Beneficiaries |
281 |
| Number Of Black or African American Beneficiaries |
73 |
| Number Of AsianPacific Islander Beneficiaries |
|
| Number Of Hispanic Beneficiaries |
|
| Number Of American Indian Alaska Native Beneficiaries |
0 |
| Number Of Beneficiaries With Race Not Else where Classified |
|
| Number Of Beneficiaries With Medicare Only Entitlement |
240 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement |
132 |
| Percent Of With Atrial Fibrillation |
7 |
| Percent Of With Alzheimers Disease or Dementia |
3 |
| Percent Of With Asthma |
16 |
| Percent Of With Cancer |
5 |
| Percent Of With Heart Failure |
13 |
| Percent Of With Chronic Kidney Disease |
18 |
| Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
| Percent Of With Depression |
39 |
| Percent Of With Diabetes |
31 |
| Percent Of With Hyperlipidemia |
49 |
| Percent Of With Hypertension |
63 |
| Percent Of With Ischemic Heart Disease |
32 |
| Percent Of With Osteoporosis |
6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
| Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
| Percent Of With Stroke |
|
| Average HCC Risk Score Of Beneficiaries |
1.3107 |