National Provider Identifier [NPI]: |
1205821477 |
Last Name Of The Provider |
CHEN |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 N GARFIELD AVE |
Street Address 2 Of The Provider |
SUITE 204 |
City Of The Provider |
MONTEREY PARK |
Zip Code Of The Provider |
917541242 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Critical Care (Intensivists) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
9205 |
Number Of Medicare Beneficiaries |
1079 |
Total Submitted Charge Amount |
1500975 |
Total Medicare Allowed Amount |
1053066.37 |
Total Medicare Payment Amount |
813288.51 |
Total Medicare Standardized Payment Amount |
753474.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
64 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
3200 |
Total Drug Medicare AllowedAmount |
810.44 |
Total Drug Medicare PaymentAmount |
759.51 |
Total Drug Medicare Standardized Payment Amount |
759.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
9141 |
Number Of Medicare Beneficiaries With Medical Services |
1079 |
Total Medical Submitted Charge Amount |
1497775 |
Total Medical Medicare Allowed Amount |
1052255.93 |
Total Medical Medicare Payment Amount |
812529 |
Total Medical Medicare Standardized Payment Amount |
752715.28 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
273 |
Number Of Beneficiaries Age 75 to 84 |
352 |
Number Of Beneficiaries Age Greater 84 |
373 |
Number Of Female Beneficiaries |
546 |
Number Of Male Beneficiaries |
533 |
Number Of Non Hispanic White Beneficiaries |
130 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
753 |
Number Of Hispanic Beneficiaries |
158 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
157 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
922 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
50 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
62 |
Percent Of With Chronic Obstructive Pulmonary Disease |
68 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
28 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
3.3859 |