National Provider Identifier [NPI]: |
1457338444 |
Last Name Of The Provider |
CHEN |
First Name Of The Provider |
CATHLEEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3800 PARK NICOLLET BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ST LOUIS PARK |
Zip Code Of The Provider |
554162527 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
131 |
Number Of Services |
25520 |
Number Of Medicare Beneficiaries |
299 |
Total Submitted Charge Amount |
1460930.68 |
Total Medicare Allowed Amount |
573133.03 |
Total Medicare Payment Amount |
446110.56 |
Total Medicare Standardized Payment Amount |
445853.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
76 |
Number Of Drug Services |
23685 |
Number Of Medicare Beneficiaries With Drug Services |
155 |
Total Drug Submitted ChargeAmount |
1242826.75 |
Total Drug Medicare AllowedAmount |
491928.07 |
Total Drug Medicare PaymentAmount |
384861.33 |
Total Drug Medicare Standardized Payment Amount |
384861.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
1835 |
Number Of Medicare Beneficiaries With Medical Services |
297 |
Total Medical Submitted Charge Amount |
218103.93 |
Total Medical Medicare Allowed Amount |
81204.96 |
Total Medical Medicare Payment Amount |
61249.23 |
Total Medical Medicare Standardized Payment Amount |
60991.84 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
122 |
Number Of Beneficiaries Age 75 to 84 |
105 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
173 |
Number Of Male Beneficiaries |
126 |
Number Of Non Hispanic White Beneficiaries |
267 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
262 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0341 |