National Provider Identifier [NPI]: |
1114919412 |
Last Name Of The Provider |
TUEN |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3503 W WHEATLAND RD |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752373461 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
3530 |
Number Of Medicare Beneficiaries |
924 |
Total Submitted Charge Amount |
671348.74 |
Total Medicare Allowed Amount |
394815.11 |
Total Medicare Payment Amount |
293534.27 |
Total Medicare Standardized Payment Amount |
296864.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
549 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
4392 |
Total Drug Medicare AllowedAmount |
1076.79 |
Total Drug Medicare PaymentAmount |
844.24 |
Total Drug Medicare Standardized Payment Amount |
844.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2981 |
Number Of Medicare Beneficiaries With Medical Services |
924 |
Total Medical Submitted Charge Amount |
666956.74 |
Total Medical Medicare Allowed Amount |
393738.32 |
Total Medical Medicare Payment Amount |
292690.03 |
Total Medical Medicare Standardized Payment Amount |
296020.17 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
274 |
Number Of Beneficiaries Age 65 to 74 |
292 |
Number Of Beneficiaries Age 75 to 84 |
239 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
550 |
Number Of Male Beneficiaries |
374 |
Number Of Non Hispanic White Beneficiaries |
378 |
Number Of Black or African American Beneficiaries |
437 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
95 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
528 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
396 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
42 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
40 |
Average HCC Risk Score Of Beneficiaries |
2.1982 |