National Provider Identifier [NPI]: |
1457375297 |
Last Name Of The Provider |
CHEN |
First Name Of The Provider |
HUA |
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 |
373 9TH ST |
Street Address 2 Of The Provider |
SUITE 303 |
City Of The Provider |
OAKLAND |
Zip Code Of The Provider |
946076514 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
4321 |
Number Of Medicare Beneficiaries |
401 |
Total Submitted Charge Amount |
319595 |
Total Medicare Allowed Amount |
290669.08 |
Total Medicare Payment Amount |
215770.21 |
Total Medicare Standardized Payment Amount |
192027.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
322 |
Number Of Medicare Beneficiaries With Drug Services |
314 |
Total Drug Submitted ChargeAmount |
6390 |
Total Drug Medicare AllowedAmount |
4875.65 |
Total Drug Medicare PaymentAmount |
4777.39 |
Total Drug Medicare Standardized Payment Amount |
4777.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
3999 |
Number Of Medicare Beneficiaries With Medical Services |
401 |
Total Medical Submitted Charge Amount |
313205 |
Total Medical Medicare Allowed Amount |
285793.43 |
Total Medical Medicare Payment Amount |
210992.82 |
Total Medical Medicare Standardized Payment Amount |
187250.49 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
195 |
Number Of Beneficiaries Age Greater 84 |
103 |
Number Of Female Beneficiaries |
236 |
Number Of Male Beneficiaries |
165 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
390 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
19 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
382 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
3 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9947 |