National Provider Identifier [NPI]: |
1336145515 |
Last Name Of The Provider |
CHOU |
First Name Of The Provider |
JUI-LIEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4002 21ST ST |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
LUBBOCK |
Zip Code Of The Provider |
794101135 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Radiation Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
31283 |
Number Of Medicare Beneficiaries |
1055 |
Total Submitted Charge Amount |
7324924.08 |
Total Medicare Allowed Amount |
1531692.2 |
Total Medicare Payment Amount |
1186009.74 |
Total Medicare Standardized Payment Amount |
1254134.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
23641 |
Number Of Medicare Beneficiaries With Drug Services |
279 |
Total Drug Submitted ChargeAmount |
90503.7 |
Total Drug Medicare AllowedAmount |
8654.59 |
Total Drug Medicare PaymentAmount |
6644.92 |
Total Drug Medicare Standardized Payment Amount |
6644.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
7642 |
Number Of Medicare Beneficiaries With Medical Services |
1055 |
Total Medical Submitted Charge Amount |
7234420.38 |
Total Medical Medicare Allowed Amount |
1523037.61 |
Total Medical Medicare Payment Amount |
1179364.82 |
Total Medical Medicare Standardized Payment Amount |
1247489.16 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
530 |
Number Of Beneficiaries Age 75 to 84 |
322 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
810 |
Number Of Male Beneficiaries |
245 |
Number Of Non Hispanic White Beneficiaries |
752 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
241 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
897 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
158 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2758 |