National Provider Identifier [NPI]: |
1689615312 |
Last Name Of The Provider |
CHYU |
First Name Of The Provider |
RAYMOND |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2281 PARAGON DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
951311307 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
26383 |
Number Of Medicare Beneficiaries |
2520 |
Total Submitted Charge Amount |
1933913.75 |
Total Medicare Allowed Amount |
495352.88 |
Total Medicare Payment Amount |
366392.62 |
Total Medicare Standardized Payment Amount |
298399.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
22413 |
Number Of Medicare Beneficiaries With Drug Services |
289 |
Total Drug Submitted ChargeAmount |
24064.75 |
Total Drug Medicare AllowedAmount |
5019.01 |
Total Drug Medicare PaymentAmount |
3533.77 |
Total Drug Medicare Standardized Payment Amount |
3533.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
129 |
Number Of Medical Services |
3970 |
Number Of Medicare Beneficiaries With Medical Services |
2520 |
Total Medical Submitted Charge Amount |
1909849 |
Total Medical Medicare Allowed Amount |
490333.87 |
Total Medical Medicare Payment Amount |
362858.85 |
Total Medical Medicare Standardized Payment Amount |
294865.27 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
225 |
Number Of Beneficiaries Age 65 to 74 |
1087 |
Number Of Beneficiaries Age 75 to 84 |
907 |
Number Of Beneficiaries Age Greater 84 |
301 |
Number Of Female Beneficiaries |
1531 |
Number Of Male Beneficiaries |
989 |
Number Of Non Hispanic White Beneficiaries |
372 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
1655 |
Number Of Hispanic Beneficiaries |
399 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
646 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1874 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2186 |