National Provider Identifier [NPI]: |
1184720807 |
Last Name Of The Provider |
HUANG |
First Name Of The Provider |
CHEN |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
241FARENHOLT AVE SUITE 201 |
Street Address 2 Of The Provider |
OKA BUILDING |
City Of The Provider |
TAMUNING |
Zip Code Of The Provider |
96913 |
State Code Of The Provider |
GU |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
23678 |
Number Of Medicare Beneficiaries |
144 |
Total Submitted Charge Amount |
171953.81 |
Total Medicare Allowed Amount |
150344.81 |
Total Medicare Payment Amount |
114687.38 |
Total Medicare Standardized Payment Amount |
107100.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
31 |
Number Of Drug Services |
21916 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
43326.9 |
Total Drug Medicare AllowedAmount |
24560.24 |
Total Drug Medicare PaymentAmount |
19182.27 |
Total Drug Medicare Standardized Payment Amount |
19182.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
1762 |
Number Of Medicare Beneficiaries With Medical Services |
144 |
Total Medical Submitted Charge Amount |
128626.91 |
Total Medical Medicare Allowed Amount |
125784.57 |
Total Medical Medicare Payment Amount |
95505.11 |
Total Medical Medicare Standardized Payment Amount |
87918.34 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
69 |
Number Of Beneficiaries Age 75 to 84 |
40 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
82 |
Number Of Male Beneficiaries |
62 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
71 |
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
54 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
|
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
15 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.963 |