National Provider Identifier [NPI]: |
1275669954 |
Last Name Of The Provider |
CHANG |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1450 TREAT BLVD |
Street Address 2 Of The Provider |
SUITE 220B |
City Of The Provider |
WALNUT CREEK |
Zip Code Of The Provider |
945972168 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
4125 |
Number Of Medicare Beneficiaries |
933 |
Total Submitted Charge Amount |
1106514 |
Total Medicare Allowed Amount |
437766.47 |
Total Medicare Payment Amount |
340487.08 |
Total Medicare Standardized Payment Amount |
313910.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
896 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
18709 |
Total Drug Medicare AllowedAmount |
3281.25 |
Total Drug Medicare PaymentAmount |
2572.55 |
Total Drug Medicare Standardized Payment Amount |
2572.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
3229 |
Number Of Medicare Beneficiaries With Medical Services |
933 |
Total Medical Submitted Charge Amount |
1087805 |
Total Medical Medicare Allowed Amount |
434485.22 |
Total Medical Medicare Payment Amount |
337914.53 |
Total Medical Medicare Standardized Payment Amount |
311337.91 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
347 |
Number Of Beneficiaries Age 75 to 84 |
302 |
Number Of Beneficiaries Age Greater 84 |
200 |
Number Of Female Beneficiaries |
452 |
Number Of Male Beneficiaries |
481 |
Number Of Non Hispanic White Beneficiaries |
715 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
85 |
Number Of Hispanic Beneficiaries |
76 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
737 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
196 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7884 |