National Provider Identifier [NPI]: |
1306058292 |
Last Name Of The Provider |
CHEN |
First Name Of The Provider |
BINGZHONG |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1035 BELLEVUE AVE |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631171854 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
4935 |
Number Of Medicare Beneficiaries |
518 |
Total Submitted Charge Amount |
301487.5 |
Total Medicare Allowed Amount |
177155.57 |
Total Medicare Payment Amount |
132792.73 |
Total Medicare Standardized Payment Amount |
132964.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3396 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
68088 |
Total Drug Medicare AllowedAmount |
18108.66 |
Total Drug Medicare PaymentAmount |
14192.61 |
Total Drug Medicare Standardized Payment Amount |
14192.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
1539 |
Number Of Medicare Beneficiaries With Medical Services |
518 |
Total Medical Submitted Charge Amount |
233399.5 |
Total Medical Medicare Allowed Amount |
159046.91 |
Total Medical Medicare Payment Amount |
118600.12 |
Total Medical Medicare Standardized Payment Amount |
118771.63 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
188 |
Number Of Beneficiaries Age 65 to 74 |
148 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
337 |
Number Of Male Beneficiaries |
181 |
Number Of Non Hispanic White Beneficiaries |
253 |
Number Of Black or African American Beneficiaries |
251 |
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 |
309 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
2.1095 |