National Provider Identifier [NPI]: |
1245213529 |
Last Name Of The Provider |
CHAO |
First Name Of The Provider |
CHRISTINE |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2800 L STREET |
Street Address 2 Of The Provider |
SUITE 610 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
95816 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
212 |
Number Of Services |
39568 |
Number Of Medicare Beneficiaries |
4123 |
Total Submitted Charge Amount |
2292067 |
Total Medicare Allowed Amount |
461175.43 |
Total Medicare Payment Amount |
353381.87 |
Total Medicare Standardized Payment Amount |
330956.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
34296 |
Number Of Medicare Beneficiaries With Drug Services |
356 |
Total Drug Submitted ChargeAmount |
67364 |
Total Drug Medicare AllowedAmount |
8132.05 |
Total Drug Medicare PaymentAmount |
6355.87 |
Total Drug Medicare Standardized Payment Amount |
6355.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
207 |
Number Of Medical Services |
5272 |
Number Of Medicare Beneficiaries With Medical Services |
4122 |
Total Medical Submitted Charge Amount |
2224703 |
Total Medical Medicare Allowed Amount |
453043.38 |
Total Medical Medicare Payment Amount |
347026 |
Total Medical Medicare Standardized Payment Amount |
324600.52 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
615 |
Number Of Beneficiaries Age 65 to 74 |
1457 |
Number Of Beneficiaries Age 75 to 84 |
1277 |
Number Of Beneficiaries Age Greater 84 |
774 |
Number Of Female Beneficiaries |
2250 |
Number Of Male Beneficiaries |
1873 |
Number Of Non Hispanic White Beneficiaries |
3146 |
Number Of Black or African American Beneficiaries |
281 |
Number Of AsianPacific Islander Beneficiaries |
264 |
Number Of Hispanic Beneficiaries |
340 |
Number Of American Indian Alaska Native Beneficiaries |
27 |
Number Of Beneficiaries With Race Not Else where Classified |
65 |
Number Of Beneficiaries With Medicare Only Entitlement |
3053 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1070 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7258 |