Medicare Facts for Vivian Chen, MA


National Provider Identifier [NPI]: 1467860098
Last Name Of The Provider CHEN
First Name Of The Provider VIVIAN
Middle Initial Of The Provider G
Credentials Of The Provider
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3950 AUSTELL RD
Street Address 2 Of The Provider
City Of The Provider AUSTELL
Zip Code Of The Provider 301061121
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 6
Number Of Services 26
Number Of Medicare Beneficiaries 24
Total Submitted Charge Amount 16408
Total Medicare Allowed Amount 1855.98
Total Medicare Payment Amount 1327.01
Total Medicare Standardized Payment Amount 1607.2
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 6
Number Of Medical Services 26
Number Of Medicare Beneficiaries With Medical Services 24
Total Medical Submitted Charge Amount 16408
Total Medical Medicare Allowed Amount 1855.98
Total Medical Medicare Payment Amount 1327.01
Total Medical Medicare Standardized Payment Amount 1607.2
Average Age Of Beneficiaries 59
Number Of Beneficiaries Age Less65 13
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
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 13
Number Of Beneficiaries With Medicare Medicaid Entitlement 11
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes 46
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.8543

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