National Provider Identifier [NPI]: |
1366435299 |
Last Name Of The Provider |
CHENG |
First Name Of The Provider |
HOWARD |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
24953 PASEO DE VALENCIA |
Street Address 2 Of The Provider |
#25B |
City Of The Provider |
LAGUNA HILLS |
Zip Code Of The Provider |
926534342 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
116997 |
Number Of Medicare Beneficiaries |
567 |
Total Submitted Charge Amount |
3216609.8 |
Total Medicare Allowed Amount |
2192430.11 |
Total Medicare Payment Amount |
1713575.97 |
Total Medicare Standardized Payment Amount |
1654363.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
57 |
Number Of Drug Services |
106818 |
Number Of Medicare Beneficiaries With Drug Services |
145 |
Total Drug Submitted ChargeAmount |
2371527.8 |
Total Drug Medicare AllowedAmount |
1629512.95 |
Total Drug Medicare PaymentAmount |
1274442.7 |
Total Drug Medicare Standardized Payment Amount |
1274442.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
10179 |
Number Of Medicare Beneficiaries With Medical Services |
567 |
Total Medical Submitted Charge Amount |
845082 |
Total Medical Medicare Allowed Amount |
562917.16 |
Total Medical Medicare Payment Amount |
439133.27 |
Total Medical Medicare Standardized Payment Amount |
379921.02 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
201 |
Number Of Beneficiaries Age Greater 84 |
172 |
Number Of Female Beneficiaries |
315 |
Number Of Male Beneficiaries |
252 |
Number Of Non Hispanic White Beneficiaries |
492 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
520 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
35 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.9045 |