National Provider Identifier [NPI]: |
1184650954 |
Last Name Of The Provider |
CHEN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15225 SHADY GROVE RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208503254 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
5313 |
Number Of Medicare Beneficiaries |
1447 |
Total Submitted Charge Amount |
1372613.74 |
Total Medicare Allowed Amount |
660491.9 |
Total Medicare Payment Amount |
502596.62 |
Total Medicare Standardized Payment Amount |
446412.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
328 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
21320 |
Total Drug Medicare AllowedAmount |
17367.63 |
Total Drug Medicare PaymentAmount |
13475.09 |
Total Drug Medicare Standardized Payment Amount |
13475.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
4985 |
Number Of Medicare Beneficiaries With Medical Services |
1447 |
Total Medical Submitted Charge Amount |
1351293.74 |
Total Medical Medicare Allowed Amount |
643124.27 |
Total Medical Medicare Payment Amount |
489121.53 |
Total Medical Medicare Standardized Payment Amount |
432936.93 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
565 |
Number Of Beneficiaries Age 75 to 84 |
514 |
Number Of Beneficiaries Age Greater 84 |
275 |
Number Of Female Beneficiaries |
728 |
Number Of Male Beneficiaries |
719 |
Number Of Non Hispanic White Beneficiaries |
909 |
Number Of Black or African American Beneficiaries |
185 |
Number Of AsianPacific Islander Beneficiaries |
242 |
Number Of Hispanic Beneficiaries |
73 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1112 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
335 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.483 |