National Provider Identifier [NPI]: |
1922181916 |
Last Name Of The Provider |
CHU |
First Name Of The Provider |
ALFRED |
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 |
1901 PORT LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
AMARILLO |
Zip Code Of The Provider |
791062430 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
150 |
Number Of Services |
40435 |
Number Of Medicare Beneficiaries |
2526 |
Total Submitted Charge Amount |
6633558.13 |
Total Medicare Allowed Amount |
1850122.19 |
Total Medicare Payment Amount |
1412293.85 |
Total Medicare Standardized Payment Amount |
1494449.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
29847 |
Number Of Medicare Beneficiaries With Drug Services |
361 |
Total Drug Submitted ChargeAmount |
167965.5 |
Total Drug Medicare AllowedAmount |
63753.54 |
Total Drug Medicare PaymentAmount |
48574.28 |
Total Drug Medicare Standardized Payment Amount |
48574.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
143 |
Number Of Medical Services |
10588 |
Number Of Medicare Beneficiaries With Medical Services |
2526 |
Total Medical Submitted Charge Amount |
6465592.63 |
Total Medical Medicare Allowed Amount |
1786368.65 |
Total Medical Medicare Payment Amount |
1363719.57 |
Total Medical Medicare Standardized Payment Amount |
1445874.96 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
323 |
Number Of Beneficiaries Age 65 to 74 |
936 |
Number Of Beneficiaries Age 75 to 84 |
870 |
Number Of Beneficiaries Age Greater 84 |
397 |
Number Of Female Beneficiaries |
1434 |
Number Of Male Beneficiaries |
1092 |
Number Of Non Hispanic White Beneficiaries |
2088 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
331 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1973 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
553 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6094 |