National Provider Identifier [NPI]: |
1316985047 |
Last Name Of The Provider |
TENG |
First Name Of The Provider |
LI |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1601 W. HEBRON PARKWAY |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
CARROLLTON |
Zip Code Of The Provider |
75010 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
4862 |
Number Of Medicare Beneficiaries |
344 |
Total Submitted Charge Amount |
296417.6 |
Total Medicare Allowed Amount |
156149.43 |
Total Medicare Payment Amount |
115865.85 |
Total Medicare Standardized Payment Amount |
120916.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
157 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
5837.6 |
Total Drug Medicare AllowedAmount |
3758.21 |
Total Drug Medicare PaymentAmount |
3566.74 |
Total Drug Medicare Standardized Payment Amount |
3566.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
4705 |
Number Of Medicare Beneficiaries With Medical Services |
344 |
Total Medical Submitted Charge Amount |
290580 |
Total Medical Medicare Allowed Amount |
152391.22 |
Total Medical Medicare Payment Amount |
112299.11 |
Total Medical Medicare Standardized Payment Amount |
117349.53 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
145 |
Number Of Beneficiaries Age 75 to 84 |
110 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
185 |
Number Of Male Beneficiaries |
159 |
Number Of Non Hispanic White Beneficiaries |
268 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
32 |
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 |
284 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0689 |