National Provider Identifier [NPI]: |
1871696997 |
Last Name Of The Provider |
CHENG |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15035 E 14TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN LEANDRO |
Zip Code Of The Provider |
945781901 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
2318 |
Number Of Medicare Beneficiaries |
616 |
Total Submitted Charge Amount |
574432.3 |
Total Medicare Allowed Amount |
269579.69 |
Total Medicare Payment Amount |
201946.16 |
Total Medicare Standardized Payment Amount |
189420.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
500 |
Number Of Medicare Beneficiaries With Drug Services |
256 |
Total Drug Submitted ChargeAmount |
9520 |
Total Drug Medicare AllowedAmount |
1901.37 |
Total Drug Medicare PaymentAmount |
1454.38 |
Total Drug Medicare Standardized Payment Amount |
1454.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
1818 |
Number Of Medicare Beneficiaries With Medical Services |
616 |
Total Medical Submitted Charge Amount |
564912.3 |
Total Medical Medicare Allowed Amount |
267678.32 |
Total Medical Medicare Payment Amount |
200491.78 |
Total Medical Medicare Standardized Payment Amount |
187965.96 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
220 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
418 |
Number Of Male Beneficiaries |
198 |
Number Of Non Hispanic White Beneficiaries |
296 |
Number Of Black or African American Beneficiaries |
130 |
Number Of AsianPacific Islander Beneficiaries |
75 |
Number Of Hispanic Beneficiaries |
97 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
410 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
206 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.3168 |