National Provider Identifier [NPI]: |
1912997990 |
Last Name Of The Provider |
CHEN |
First Name Of The Provider |
FEIYU |
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 |
6325 HUMPHREYS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381202300 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
7430 |
Number Of Medicare Beneficiaries |
983 |
Total Submitted Charge Amount |
901777.01 |
Total Medicare Allowed Amount |
294040.68 |
Total Medicare Payment Amount |
212719.66 |
Total Medicare Standardized Payment Amount |
228515.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
4938 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
175444 |
Total Drug Medicare AllowedAmount |
63666.88 |
Total Drug Medicare PaymentAmount |
43440.48 |
Total Drug Medicare Standardized Payment Amount |
43440.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
2492 |
Number Of Medicare Beneficiaries With Medical Services |
982 |
Total Medical Submitted Charge Amount |
726333.01 |
Total Medical Medicare Allowed Amount |
230373.8 |
Total Medical Medicare Payment Amount |
169279.18 |
Total Medical Medicare Standardized Payment Amount |
185075.29 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
293 |
Number Of Beneficiaries Age 65 to 74 |
322 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
598 |
Number Of Male Beneficiaries |
385 |
Number Of Non Hispanic White Beneficiaries |
657 |
Number Of Black or African American Beneficiaries |
307 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
670 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
313 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
1.6511 |