National Provider Identifier [NPI]: |
1659391225 |
Last Name Of The Provider |
CHOW |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
235 HANOVER ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FALL RIVER |
Zip Code Of The Provider |
027205246 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
984 |
Number Of Medicare Beneficiaries |
368 |
Total Submitted Charge Amount |
247645.5 |
Total Medicare Allowed Amount |
62760.32 |
Total Medicare Payment Amount |
46791.64 |
Total Medicare Standardized Payment Amount |
50883.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
376 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
17048 |
Total Drug Medicare AllowedAmount |
8918.71 |
Total Drug Medicare PaymentAmount |
6845.49 |
Total Drug Medicare Standardized Payment Amount |
6845.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
608 |
Number Of Medicare Beneficiaries With Medical Services |
368 |
Total Medical Submitted Charge Amount |
230597.5 |
Total Medical Medicare Allowed Amount |
53841.61 |
Total Medical Medicare Payment Amount |
39946.15 |
Total Medical Medicare Standardized Payment Amount |
44037.89 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
135 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
245 |
Number Of Male Beneficiaries |
123 |
Number Of Non Hispanic White Beneficiaries |
342 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
259 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2126 |