| National Provider Identifier [NPI]: | 1003960519 |
| Last Name Of The Provider | CHENGSON |
| First Name Of The Provider | RICHARD |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 25 BRIERCROFT OFFICE PARK |
| Street Address 2 Of The Provider | |
| City Of The Provider | LUBBOCK |
| Zip Code Of The Provider | 794123011 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | General Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 26 |
| Number Of Services | 831 |
| Number Of Medicare Beneficiaries | 163 |
| Total Submitted Charge Amount | 36128.8 |
| Total Medicare Allowed Amount | 34676.32 |
| Total Medicare Payment Amount | 26459.43 |
| Total Medicare Standardized Payment Amount | 27416.95 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 23 |
| Number Of Medicare Beneficiaries With Drug Services | 21 |
| Total Drug Submitted ChargeAmount | 244.41 |
| Total Drug Medicare AllowedAmount | 217.5 |
| Total Drug Medicare PaymentAmount | 203.86 |
| Total Drug Medicare Standardized Payment Amount | 203.86 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 22 |
| Number Of Medical Services | 808 |
| Number Of Medicare Beneficiaries With Medical Services | 163 |
| Total Medical Submitted Charge Amount | 35884.39 |
| Total Medical Medicare Allowed Amount | 34458.82 |
| Total Medical Medicare Payment Amount | 26255.57 |
| Total Medical Medicare Standardized Payment Amount | 27213.09 |
| Average Age Of Beneficiaries | 56 |
| Number Of Beneficiaries Age Less65 | 119 |
| Number Of Beneficiaries Age 65 to 74 | 28 |
| Number Of Beneficiaries Age 75 to 84 | 16 |
| Number Of Beneficiaries Age Greater 84 | 0 |
| Number Of Female Beneficiaries | 92 |
| Number Of Male Beneficiaries | 71 |
| Number Of Non Hispanic White Beneficiaries | 142 |
| Number Of Black or African American Beneficiaries | |
| 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 | 0 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 163 |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | |
| Percent Of With Asthma | |
| Percent Of With Cancer | |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 13 |
| Percent Of With Chronic Obstructive Pulmonary Disease | |
| Percent Of With Depression | |
| Percent Of With Diabetes | 12 |
| Percent Of With Hyperlipidemia | 31 |
| Percent Of With Hypertension | 20 |
| Percent Of With Ischemic Heart Disease | 8 |
| Percent Of With Osteoporosis | 44 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 7 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 12 |
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 1.5181 |