National Provider Identifier [NPI]: |
1730380056 |
Last Name Of The Provider |
CHEN |
First Name Of The Provider |
KUN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD, PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
720 GALLATIN STREET |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358014414 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
83102 |
Number Of Medicare Beneficiaries |
1028 |
Total Submitted Charge Amount |
3940370.5 |
Total Medicare Allowed Amount |
2716303.95 |
Total Medicare Payment Amount |
2047566.58 |
Total Medicare Standardized Payment Amount |
2070521.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
70149 |
Number Of Medicare Beneficiaries With Drug Services |
304 |
Total Drug Submitted ChargeAmount |
3114718.5 |
Total Drug Medicare AllowedAmount |
2253983.35 |
Total Drug Medicare PaymentAmount |
1693880.16 |
Total Drug Medicare Standardized Payment Amount |
1693880.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
12953 |
Number Of Medicare Beneficiaries With Medical Services |
1027 |
Total Medical Submitted Charge Amount |
825652 |
Total Medical Medicare Allowed Amount |
462320.6 |
Total Medical Medicare Payment Amount |
353686.42 |
Total Medical Medicare Standardized Payment Amount |
376641.44 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
211 |
Number Of Beneficiaries Age 65 to 74 |
490 |
Number Of Beneficiaries Age 75 to 84 |
256 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
787 |
Number Of Male Beneficiaries |
241 |
Number Of Non Hispanic White Beneficiaries |
919 |
Number Of Black or African American Beneficiaries |
86 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
886 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
142 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
26 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1699 |