National Provider Identifier [NPI]: |
1588667976 |
Last Name Of The Provider |
TUNG |
First Name Of The Provider |
CHEN |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
310 W 9TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FREDERICK |
Zip Code Of The Provider |
217014546 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
6906 |
Number Of Medicare Beneficiaries |
1874 |
Total Submitted Charge Amount |
1112353 |
Total Medicare Allowed Amount |
589962.91 |
Total Medicare Payment Amount |
437232.39 |
Total Medicare Standardized Payment Amount |
433106.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
569 |
Number Of Medicare Beneficiaries With Drug Services |
143 |
Total Drug Submitted ChargeAmount |
34115 |
Total Drug Medicare AllowedAmount |
30079.47 |
Total Drug Medicare PaymentAmount |
23582.12 |
Total Drug Medicare Standardized Payment Amount |
23582.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
6337 |
Number Of Medicare Beneficiaries With Medical Services |
1874 |
Total Medical Submitted Charge Amount |
1078238 |
Total Medical Medicare Allowed Amount |
559883.44 |
Total Medical Medicare Payment Amount |
413650.27 |
Total Medical Medicare Standardized Payment Amount |
409524.29 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
710 |
Number Of Beneficiaries Age 75 to 84 |
618 |
Number Of Beneficiaries Age Greater 84 |
378 |
Number Of Female Beneficiaries |
1020 |
Number Of Male Beneficiaries |
854 |
Number Of Non Hispanic White Beneficiaries |
1689 |
Number Of Black or African American Beneficiaries |
131 |
Number Of AsianPacific Islander Beneficiaries |
26 |
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 |
1641 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
233 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.4869 |