National Provider Identifier [NPI]: |
1629174149 |
Last Name Of The Provider |
FENG |
First Name Of The Provider |
HELEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2242 CAMDEN AVE |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
951242029 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
18879 |
Number Of Medicare Beneficiaries |
246 |
Total Submitted Charge Amount |
1016005 |
Total Medicare Allowed Amount |
636933.25 |
Total Medicare Payment Amount |
498216.38 |
Total Medicare Standardized Payment Amount |
485203.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
17333 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
756195 |
Total Drug Medicare AllowedAmount |
463530.26 |
Total Drug Medicare PaymentAmount |
363437.53 |
Total Drug Medicare Standardized Payment Amount |
363437.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
1546 |
Number Of Medicare Beneficiaries With Medical Services |
246 |
Total Medical Submitted Charge Amount |
259810 |
Total Medical Medicare Allowed Amount |
173402.99 |
Total Medical Medicare Payment Amount |
134778.85 |
Total Medical Medicare Standardized Payment Amount |
121765.62 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
95 |
Number Of Beneficiaries Age 75 to 84 |
87 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
186 |
Number Of Male Beneficiaries |
60 |
Number Of Non Hispanic White Beneficiaries |
136 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
72 |
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
198 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
53 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2816 |