National Provider Identifier [NPI]: |
1104934348 |
Last Name Of The Provider |
CHEN |
First Name Of The Provider |
CHIH-LUNG |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1020 SANSOM ST |
Street Address 2 Of The Provider |
SUITE 239 |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191075002 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
1194 |
Number Of Medicare Beneficiaries |
747 |
Total Submitted Charge Amount |
252801.91 |
Total Medicare Allowed Amount |
117336.37 |
Total Medicare Payment Amount |
87111.23 |
Total Medicare Standardized Payment Amount |
82510.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
31 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
685.22 |
Total Drug Medicare AllowedAmount |
284.47 |
Total Drug Medicare PaymentAmount |
235.91 |
Total Drug Medicare Standardized Payment Amount |
235.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
1163 |
Number Of Medicare Beneficiaries With Medical Services |
747 |
Total Medical Submitted Charge Amount |
252116.69 |
Total Medical Medicare Allowed Amount |
117051.9 |
Total Medical Medicare Payment Amount |
86875.32 |
Total Medical Medicare Standardized Payment Amount |
82275.05 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
205 |
Number Of Beneficiaries Age 65 to 74 |
285 |
Number Of Beneficiaries Age 75 to 84 |
160 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
422 |
Number Of Male Beneficiaries |
325 |
Number Of Non Hispanic White Beneficiaries |
487 |
Number Of Black or African American Beneficiaries |
204 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
520 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
227 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.177 |