National Provider Identifier [NPI]: |
1821296682 |
Last Name Of The Provider |
CHOE |
First Name Of The Provider |
CHRISTINA |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1701 OLD VILLAGE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HENDERSONVILLE |
Zip Code Of The Provider |
287913772 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
7341 |
Number Of Medicare Beneficiaries |
1033 |
Total Submitted Charge Amount |
761311.64 |
Total Medicare Allowed Amount |
387805.81 |
Total Medicare Payment Amount |
285889.95 |
Total Medicare Standardized Payment Amount |
274689.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
5141 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
31103.05 |
Total Drug Medicare AllowedAmount |
28318 |
Total Drug Medicare PaymentAmount |
22201.23 |
Total Drug Medicare Standardized Payment Amount |
22201.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
2200 |
Number Of Medicare Beneficiaries With Medical Services |
1033 |
Total Medical Submitted Charge Amount |
730208.59 |
Total Medical Medicare Allowed Amount |
359487.81 |
Total Medical Medicare Payment Amount |
263688.72 |
Total Medical Medicare Standardized Payment Amount |
252488.21 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
405 |
Number Of Beneficiaries Age 75 to 84 |
355 |
Number Of Beneficiaries Age Greater 84 |
206 |
Number Of Female Beneficiaries |
682 |
Number Of Male Beneficiaries |
351 |
Number Of Non Hispanic White Beneficiaries |
989 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
934 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9847 |