National Provider Identifier [NPI]: |
1598749616 |
Last Name Of The Provider |
CHEN |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
355 ABBOTT ST |
Street Address 2 Of The Provider |
100 |
City Of The Provider |
SALINAS |
Zip Code Of The Provider |
93901 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
6410 |
Number Of Medicare Beneficiaries |
749 |
Total Submitted Charge Amount |
469738.04 |
Total Medicare Allowed Amount |
215306.33 |
Total Medicare Payment Amount |
157601.46 |
Total Medicare Standardized Payment Amount |
156526.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
263 |
Number Of Medicare Beneficiaries With Drug Services |
183 |
Total Drug Submitted ChargeAmount |
14605.4 |
Total Drug Medicare AllowedAmount |
6380.24 |
Total Drug Medicare PaymentAmount |
6139.4 |
Total Drug Medicare Standardized Payment Amount |
6139.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
6147 |
Number Of Medicare Beneficiaries With Medical Services |
749 |
Total Medical Submitted Charge Amount |
455132.64 |
Total Medical Medicare Allowed Amount |
208926.09 |
Total Medical Medicare Payment Amount |
151462.06 |
Total Medical Medicare Standardized Payment Amount |
150386.68 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
329 |
Number Of Beneficiaries Age 75 to 84 |
213 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
381 |
Number Of Male Beneficiaries |
368 |
Number Of Non Hispanic White Beneficiaries |
427 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
66 |
Number Of Hispanic Beneficiaries |
207 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
584 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
165 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9958 |