National Provider Identifier [NPI]: |
1275578361 |
Last Name Of The Provider |
WU |
First Name Of The Provider |
CHUANSHENG |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2665 N DECATUR RD |
Street Address 2 Of The Provider |
SUITE 430 |
City Of The Provider |
DECATUR |
Zip Code Of The Provider |
30033 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
3092 |
Number Of Medicare Beneficiaries |
675 |
Total Submitted Charge Amount |
387654.89 |
Total Medicare Allowed Amount |
376296.55 |
Total Medicare Payment Amount |
283873.62 |
Total Medicare Standardized Payment Amount |
291160.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
28 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
359.78 |
Total Drug Medicare AllowedAmount |
358.53 |
Total Drug Medicare PaymentAmount |
351.43 |
Total Drug Medicare Standardized Payment Amount |
351.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3064 |
Number Of Medicare Beneficiaries With Medical Services |
675 |
Total Medical Submitted Charge Amount |
387295.11 |
Total Medical Medicare Allowed Amount |
375938.02 |
Total Medical Medicare Payment Amount |
283522.19 |
Total Medical Medicare Standardized Payment Amount |
290809.19 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
159 |
Number Of Beneficiaries Age 65 to 74 |
257 |
Number Of Beneficiaries Age 75 to 84 |
179 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
376 |
Number Of Male Beneficiaries |
299 |
Number Of Non Hispanic White Beneficiaries |
331 |
Number Of Black or African American Beneficiaries |
304 |
Number Of AsianPacific Islander Beneficiaries |
18 |
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 |
443 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
232 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.654 |