National Provider Identifier [NPI]: |
1770534182 |
Last Name Of The Provider |
TSAI |
First Name Of The Provider |
VIVIAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3200 KEARNEY STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
FREMONT |
Zip Code Of The Provider |
945382299 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
3777 |
Number Of Medicare Beneficiaries |
1297 |
Total Submitted Charge Amount |
915073.48 |
Total Medicare Allowed Amount |
333088.3 |
Total Medicare Payment Amount |
249026.46 |
Total Medicare Standardized Payment Amount |
212670.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
833 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
8815 |
Total Drug Medicare AllowedAmount |
2712.62 |
Total Drug Medicare PaymentAmount |
2189.08 |
Total Drug Medicare Standardized Payment Amount |
2189.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2944 |
Number Of Medicare Beneficiaries With Medical Services |
1297 |
Total Medical Submitted Charge Amount |
906258.48 |
Total Medical Medicare Allowed Amount |
330375.68 |
Total Medical Medicare Payment Amount |
246837.38 |
Total Medical Medicare Standardized Payment Amount |
210481.02 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
554 |
Number Of Beneficiaries Age 75 to 84 |
457 |
Number Of Beneficiaries Age Greater 84 |
231 |
Number Of Female Beneficiaries |
693 |
Number Of Male Beneficiaries |
604 |
Number Of Non Hispanic White Beneficiaries |
835 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
287 |
Number Of Hispanic Beneficiaries |
93 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
42 |
Number Of Beneficiaries With Medicare Only Entitlement |
1056 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
241 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2044 |