Hang Zhou MD

Gender: M
Medical School: Other
Graduation Year: 2000
Primary Specialty: Pathology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted24
Total Provider Services1696
Total Medicare beneficiaries receiving the provider services575
The total charges that the provider submitted for all services$245,569.09
The Medicare allowed amount for all provider services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$60,780.17
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$47,580.69
Total Medicare Standardized Payment Amount$49,090.05
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File0
Total drug services, as defined from the Medicare Part B Drug ASP File0
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.0
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$0.00
The Medicare allowed amount for drug services, as defined from the Medicare Part B Drug ASP File. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$0.00
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item drug services, as defined from the Medicare Part B Drug ASP File.$0.00
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item drug service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care.$0.00
Total number of HCPCS codes associated with medical (non-ASP) services24
Total medical (non-ASP) services1696
Total Medicare beneficiaries receiving medical (non-ASP) services575
The total charges that the provider submitted for medical services (non-ASP)$245,569.09
The Medicare allowed amount for medical (non-ASP) services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$60,780.17
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$47,580.69
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item medical (non-ASP) service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care$49,090.05
Average age of beneficiaries73
Number of beneficiaries under the age of 6545
Number of beneficiaries between the ages of 65 and 74279
Number of beneficiaries between the ages of 75 and 84205
Number of beneficiaries over the age of 8446
Number of Female beneficiaries312
Number of Male Beneficiaries263
Number of Non-Hispanic White Beneficiaries538
Number of Beneficiaries With Race Not Elsewhere Classified12
Number of Medicare beneficiaries qualified to receive Medicare only benefits. Beneficiaries are classified as Medicare only entitlement if they received zero months of any Medicaid benefits (full or partial) in the given calendar year538
Number of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits. Beneficiaries are classified as Medicare and Medicaid entitlement if in any month in the given calendar year they were receiving full or partial Medicaid benefits37
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation17%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia11%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma8%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer18%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure24%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease38%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia59%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease43%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis51%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders3%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke7%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.51

Source: data.cms.gov

Hang Zhou MD's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Blood smear interpretation by physician with written report 23 22 23 $24.77 $60.0 $19.42 309%
Bone marrow, smear interpretation 11 11 11 $50.02 $150.0 $39.22 382%
Cell examination of body fluid 23 20 21 $29.35 $124.0 $23.01 539%
Cell examination of specimen 76 60 72 $28.06 $170.0 $22.0 773%
Evaluation of fine needle aspirate with interpretation and report 23 21 21 $72.38 $248.0 $56.74 437%
Pathology examination of tissue using a microscope, moderately low complexity 43 41 41 $11.88 $100.0 $9.27 1078%
Pathology examination of tissue using a microscope, intermediate complexity 775 388 405 $38.84 $166.0 $30.41 546%
Pathology examination of tissue using a microscope, intermediate complexity 120 47 47 $39.09 $67.56 $30.41 222%
Pathology examination of tissue using a microscope, moderately high complexity 40 21 21 $85.51 $285.0 $67.04 425%
Preparation of tissue for examination by removing any calcium present 66 66 66 $12.93 $49.0 $10.0 490%
Special stained specimen slides to examine tissue including interpretation and report 87 57 57 $12.27 $60.0 $9.62 624%
Special stained specimen slides to examine tissue including interpretation and report 11 11 11 $11.67 $24.68 $9.15 270%
Special stained specimen slides to examine tissue 157 37 38 $29.02 $109.0 $22.75 479%
Tissue or cell analysis by immunologic technique 148 138 139 $36.38 $182.0 $28.52 638%
Tissue or cell analysis by immunologic technique 20 16 16 $36.38 $156.8 $28.52 550%
Source: 2017 Provider CMS Charge Data