National Provider Identifier [NPI]: |
1942309703 |
Last Name Of The Provider |
CHIU |
First Name Of The Provider |
VINCENT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
PHD MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3010 W ORANGE AVE |
Street Address 2 Of The Provider |
SUITE 109 |
City Of The Provider |
ANAHEIM |
Zip Code Of The Provider |
92804 |
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 |
36 |
Number Of Services |
2283 |
Number Of Medicare Beneficiaries |
109 |
Total Submitted Charge Amount |
491808.5 |
Total Medicare Allowed Amount |
316239.78 |
Total Medicare Payment Amount |
244062.18 |
Total Medicare Standardized Payment Amount |
229956.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
50 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
3455 |
Total Drug Medicare AllowedAmount |
1165.37 |
Total Drug Medicare PaymentAmount |
1142.07 |
Total Drug Medicare Standardized Payment Amount |
1142.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2233 |
Number Of Medicare Beneficiaries With Medical Services |
109 |
Total Medical Submitted Charge Amount |
488353.5 |
Total Medical Medicare Allowed Amount |
315074.41 |
Total Medical Medicare Payment Amount |
242920.11 |
Total Medical Medicare Standardized Payment Amount |
228813.97 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
39 |
Number Of Beneficiaries Age 75 to 84 |
30 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
58 |
Number Of Male Beneficiaries |
51 |
Number Of Non Hispanic White Beneficiaries |
56 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
26 |
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 |
63 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.4873 |