National Provider Identifier [NPI]: |
1003811746 |
Last Name Of The Provider |
TSENG |
First Name Of The Provider |
HENNESSEY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1450 TREAT BLVD |
Street Address 2 Of The Provider |
SUITE 220B |
City Of The Provider |
WALNUT CREEK |
Zip Code Of The Provider |
945972168 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
4254 |
Number Of Medicare Beneficiaries |
1046 |
Total Submitted Charge Amount |
770160.75 |
Total Medicare Allowed Amount |
348644.08 |
Total Medicare Payment Amount |
270870.24 |
Total Medicare Standardized Payment Amount |
246177.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1053 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
16160 |
Total Drug Medicare AllowedAmount |
2944.06 |
Total Drug Medicare PaymentAmount |
2308.15 |
Total Drug Medicare Standardized Payment Amount |
2308.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
3201 |
Number Of Medicare Beneficiaries With Medical Services |
1046 |
Total Medical Submitted Charge Amount |
754000.75 |
Total Medical Medicare Allowed Amount |
345700.02 |
Total Medical Medicare Payment Amount |
268562.09 |
Total Medical Medicare Standardized Payment Amount |
243869.21 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
305 |
Number Of Beneficiaries Age 75 to 84 |
391 |
Number Of Beneficiaries Age Greater 84 |
289 |
Number Of Female Beneficiaries |
568 |
Number Of Male Beneficiaries |
478 |
Number Of Non Hispanic White Beneficiaries |
890 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
74 |
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
908 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
138 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.5882 |