National Provider Identifier [NPI]: |
1265591937 |
Last Name Of The Provider |
CHEN |
First Name Of The Provider |
FELIX |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
77 N SAN MATEO DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN MATEO |
Zip Code Of The Provider |
944012889 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
3999 |
Number Of Medicare Beneficiaries |
395 |
Total Submitted Charge Amount |
434422 |
Total Medicare Allowed Amount |
223316.53 |
Total Medicare Payment Amount |
170573.47 |
Total Medicare Standardized Payment Amount |
138431.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2212 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
17569 |
Total Drug Medicare AllowedAmount |
5925.92 |
Total Drug Medicare PaymentAmount |
4645.97 |
Total Drug Medicare Standardized Payment Amount |
4645.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
1787 |
Number Of Medicare Beneficiaries With Medical Services |
394 |
Total Medical Submitted Charge Amount |
416853 |
Total Medical Medicare Allowed Amount |
217390.61 |
Total Medical Medicare Payment Amount |
165927.5 |
Total Medical Medicare Standardized Payment Amount |
133785.85 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
135 |
Number Of Beneficiaries Age 75 to 84 |
129 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
263 |
Number Of Male Beneficiaries |
132 |
Number Of Non Hispanic White Beneficiaries |
339 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2578 |