| National Provider Identifier [NPI]: |
1417285198 |
| Last Name Of The Provider |
XING |
| First Name Of The Provider |
DANLI |
| Middle Initial Of The Provider |
L |
| Credentials Of The Provider |
M.D. |
| Gender Of The Provider |
F |
| Entity Type Of The Provider |
I |
| Street Address 1 Of The Provider |
550 PARK AVE |
| Street Address 2 Of The Provider |
|
| City Of The Provider |
NEW YORK |
| Zip Code Of The Provider |
100657369 |
| State Code Of The Provider |
NY |
| Country Code Of The Provider |
US |
| Provider Type Of The Provider |
Ophthalmology |
| Medicare Participation Indicator |
Y |
| Number Of HCPCS |
42 |
| Number Of Services |
749 |
| Number Of Medicare Beneficiaries |
180 |
| Total Submitted Charge Amount |
281200 |
| Total Medicare Allowed Amount |
83013.96 |
| Total Medicare Payment Amount |
64269.04 |
| Total Medicare Standardized Payment Amount |
56239.55 |
| Drug Suppress Indicator |
|
| Number Of HCPCS Associated With Drug Services |
4 |
| Number Of Drug Services |
136 |
| Number Of Medicare Beneficiaries With Drug Services |
33 |
| Total Drug Submitted ChargeAmount |
20815 |
| Total Drug Medicare AllowedAmount |
4907.17 |
| Total Drug Medicare PaymentAmount |
3826.56 |
| Total Drug Medicare Standardized Payment Amount |
3826.56 |
| Medical SuppressIndicator |
|
| Number Of HCPCS Associated With MedicalServices |
38 |
| Number Of Medical Services |
613 |
| Number Of Medicare Beneficiaries With Medical Services |
180 |
| Total Medical Submitted Charge Amount |
260385 |
| Total Medical Medicare Allowed Amount |
78106.79 |
| Total Medical Medicare Payment Amount |
60442.48 |
| Total Medical Medicare Standardized Payment Amount |
52412.99 |
| Average Age Of Beneficiaries |
69 |
| Number Of Beneficiaries Age Less65 |
39 |
| Number Of Beneficiaries Age 65 to 74 |
84 |
| Number Of Beneficiaries Age 75 to 84 |
41 |
| Number Of Beneficiaries Age Greater 84 |
16 |
| Number Of Female Beneficiaries |
112 |
| Number Of Male Beneficiaries |
68 |
| Number Of Non Hispanic White Beneficiaries |
39 |
| Number Of Black or African American Beneficiaries |
44 |
| Number Of AsianPacific Islander Beneficiaries |
|
| Number Of Hispanic Beneficiaries |
86 |
| Number Of American Indian Alaska Native Beneficiaries |
0 |
| Number Of Beneficiaries With Race Not Else where Classified |
|
| Number Of Beneficiaries With Medicare Only Entitlement |
72 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
| Percent Of With Atrial Fibrillation |
8 |
| Percent Of With Alzheimers Disease or Dementia |
8 |
| Percent Of With Asthma |
8 |
| Percent Of With Cancer |
|
| Percent Of With Heart Failure |
23 |
| Percent Of With Chronic Kidney Disease |
32 |
| Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
| Percent Of With Depression |
21 |
| Percent Of With Diabetes |
68 |
| Percent Of With Hyperlipidemia |
63 |
| Percent Of With Hypertension |
75 |
| Percent Of With Ischemic Heart Disease |
34 |
| Percent Of With Osteoporosis |
7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
| Percent Of With Schizophrenia Other PsychoticDisorders |
|
| Percent Of With Stroke |
|
| Average HCC Risk Score Of Beneficiaries |
2.1352 |