| National Provider Identifier [NPI]: | 1710926308 |
| Last Name Of The Provider | ZHAO |
| First Name Of The Provider | YING |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 810 LUCAS DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | ATHENS |
| Zip Code Of The Provider | 757513446 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 80 |
| Number Of Services | 19291 |
| Number Of Medicare Beneficiaries | 9170 |
| Total Submitted Charge Amount | 934923.25 |
| Total Medicare Allowed Amount | 233292.8 |
| Total Medicare Payment Amount | 172527.06 |
| Total Medicare Standardized Payment Amount | 173206.86 |
| 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 | 80 |
| Number Of Medical Services | 19291 |
| Number Of Medicare Beneficiaries With Medical Services | 9170 |
| Total Medical Submitted Charge Amount | 934923.25 |
| Total Medical Medicare Allowed Amount | 233292.8 |
| Total Medical Medicare Payment Amount | 172527.06 |
| Total Medical Medicare Standardized Payment Amount | 173206.86 |
| Average Age Of Beneficiaries | 80 |
| Number Of Beneficiaries Age Less65 | 783 |
| Number Of Beneficiaries Age 65 to 74 | 1792 |
| Number Of Beneficiaries Age 75 to 84 | 2870 |
| Number Of Beneficiaries Age Greater 84 | 3725 |
| Number Of Female Beneficiaries | 6277 |
| Number Of Male Beneficiaries | 2893 |
| Number Of Non Hispanic White Beneficiaries | 7184 |
| Number Of Black or African American Beneficiaries | 1223 |
| Number Of AsianPacific Islander Beneficiaries | 151 |
| Number Of Hispanic Beneficiaries | 535 |
| Number Of American Indian Alaska Native Beneficiaries | 36 |
| Number Of Beneficiaries With Race Not Else where Classified | 41 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3971 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 5199 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 71 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 74 |
| Percent Of With Chronic Kidney Disease | 55 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 37 |
| Percent Of With Depression | 60 |
| Percent Of With Diabetes | 57 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 21 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 63 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 22 |
| Percent Of With Stroke | 21 |
| Average HCC Risk Score Of Beneficiaries | 2.6286 |