National Provider Identifier [NPI]: |
1740274018 |
Last Name Of The Provider |
TIEN |
First Name Of The Provider |
HUEY |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
225 ABRAHAM FLEXNER WAY |
Street Address 2 Of The Provider |
STE 700 |
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402021846 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
2939 |
Number Of Medicare Beneficiaries |
568 |
Total Submitted Charge Amount |
756435.4 |
Total Medicare Allowed Amount |
223915.98 |
Total Medicare Payment Amount |
168148.69 |
Total Medicare Standardized Payment Amount |
177206.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1112 |
Number Of Medicare Beneficiaries With Drug Services |
254 |
Total Drug Submitted ChargeAmount |
34778.4 |
Total Drug Medicare AllowedAmount |
28371.03 |
Total Drug Medicare PaymentAmount |
22219.14 |
Total Drug Medicare Standardized Payment Amount |
22219.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
131 |
Number Of Medical Services |
1827 |
Number Of Medicare Beneficiaries With Medical Services |
568 |
Total Medical Submitted Charge Amount |
721657 |
Total Medical Medicare Allowed Amount |
195544.95 |
Total Medical Medicare Payment Amount |
145929.55 |
Total Medical Medicare Standardized Payment Amount |
154987.44 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
243 |
Number Of Beneficiaries Age 75 to 84 |
145 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
348 |
Number Of Male Beneficiaries |
220 |
Number Of Non Hispanic White Beneficiaries |
493 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
465 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1883 |