National Provider Identifier [NPI]: |
1164454286 |
Last Name Of The Provider |
CHEN |
First Name Of The Provider |
HUO |
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 |
600 N GARFIELD AVE |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
MONTEREY PARK |
Zip Code Of The Provider |
917541166 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
2181 |
Number Of Medicare Beneficiaries |
223 |
Total Submitted Charge Amount |
280140 |
Total Medicare Allowed Amount |
202180.26 |
Total Medicare Payment Amount |
154391.82 |
Total Medicare Standardized Payment Amount |
139877.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
136 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
6640 |
Total Drug Medicare AllowedAmount |
4680.94 |
Total Drug Medicare PaymentAmount |
4581.38 |
Total Drug Medicare Standardized Payment Amount |
4581.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
2045 |
Number Of Medicare Beneficiaries With Medical Services |
223 |
Total Medical Submitted Charge Amount |
273500 |
Total Medical Medicare Allowed Amount |
197499.32 |
Total Medical Medicare Payment Amount |
149810.44 |
Total Medical Medicare Standardized Payment Amount |
135296.54 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
77 |
Number Of Beneficiaries Age 75 to 84 |
89 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
114 |
Number Of Male Beneficiaries |
109 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
210 |
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 |
27 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
196 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
36 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
27 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.559 |