National Provider Identifier [NPI]: |
1265490312 |
Last Name Of The Provider |
CHEN |
First Name Of The Provider |
NAIXI |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D., PH.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 ANDOVER PARK E |
Street Address 2 Of The Provider |
STE # 3 |
City Of The Provider |
TUKWILA |
Zip Code Of The Provider |
981882938 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
228842 |
Number Of Medicare Beneficiaries |
150 |
Total Submitted Charge Amount |
7684829.93 |
Total Medicare Allowed Amount |
2558613.44 |
Total Medicare Payment Amount |
1986017.48 |
Total Medicare Standardized Payment Amount |
1945638.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
70 |
Number Of Drug Services |
177939 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
6668096.61 |
Total Drug Medicare AllowedAmount |
2168378.88 |
Total Drug Medicare PaymentAmount |
1694455.93 |
Total Drug Medicare Standardized Payment Amount |
1694455.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
50903 |
Number Of Medicare Beneficiaries With Medical Services |
150 |
Total Medical Submitted Charge Amount |
1016733.32 |
Total Medical Medicare Allowed Amount |
390234.56 |
Total Medical Medicare Payment Amount |
291561.55 |
Total Medical Medicare Standardized Payment Amount |
251182.77 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
84 |
Number Of Beneficiaries Age 75 to 84 |
40 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
82 |
Number Of Male Beneficiaries |
68 |
Number Of Non Hispanic White Beneficiaries |
123 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
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 |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
59 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
23 |
Percent Of With Hypertension |
36 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
2.2975 |