National Provider Identifier [NPI]: |
1023032638 |
Last Name Of The Provider |
HSIEH |
First Name Of The Provider |
GEOFFREY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3131 LA CANADA ST |
Street Address 2 Of The Provider |
SUITE #241 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891692578 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gynecological/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
4159 |
Number Of Medicare Beneficiaries |
228 |
Total Submitted Charge Amount |
1254565.15 |
Total Medicare Allowed Amount |
254003.21 |
Total Medicare Payment Amount |
192073.93 |
Total Medicare Standardized Payment Amount |
198196.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
2497 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
76595.15 |
Total Drug Medicare AllowedAmount |
26789.48 |
Total Drug Medicare PaymentAmount |
20992.05 |
Total Drug Medicare Standardized Payment Amount |
20992.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
1662 |
Number Of Medicare Beneficiaries With Medical Services |
228 |
Total Medical Submitted Charge Amount |
1177970 |
Total Medical Medicare Allowed Amount |
227213.73 |
Total Medical Medicare Payment Amount |
171081.88 |
Total Medical Medicare Standardized Payment Amount |
177203.97 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
126 |
Number Of Beneficiaries Age 75 to 84 |
61 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
228 |
Number Of Male Beneficiaries |
0 |
Number Of Non Hispanic White Beneficiaries |
166 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
187 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1986 |