National Provider Identifier [NPI]: |
1235135633 |
Last Name Of The Provider |
LE |
First Name Of The Provider |
CHAU |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9206 VALLEY BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROSEMEAD |
Zip Code Of The Provider |
917701900 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
9 |
Number Of Services |
2777 |
Number Of Medicare Beneficiaries |
386 |
Total Submitted Charge Amount |
219407 |
Total Medicare Allowed Amount |
170045.58 |
Total Medicare Payment Amount |
123415.26 |
Total Medicare Standardized Payment Amount |
114965.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
115 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
2875 |
Total Drug Medicare AllowedAmount |
1384.6 |
Total Drug Medicare PaymentAmount |
1357 |
Total Drug Medicare Standardized Payment Amount |
1357 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
8 |
Number Of Medical Services |
2662 |
Number Of Medicare Beneficiaries With Medical Services |
386 |
Total Medical Submitted Charge Amount |
216532 |
Total Medical Medicare Allowed Amount |
168660.98 |
Total Medical Medicare Payment Amount |
122058.26 |
Total Medical Medicare Standardized Payment Amount |
113608.19 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
115 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
221 |
Number Of Male Beneficiaries |
165 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
15 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
371 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.145 |