National Provider Identifier [NPI]: |
1346342102 |
Last Name Of The Provider |
CHAU |
First Name Of The Provider |
CYNTHIA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 E DOMINGUEZ ST |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
CARSON |
Zip Code Of The Provider |
907463600 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
2056 |
Number Of Medicare Beneficiaries |
256 |
Total Submitted Charge Amount |
732924 |
Total Medicare Allowed Amount |
219345.09 |
Total Medicare Payment Amount |
170850.65 |
Total Medicare Standardized Payment Amount |
191698.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
16 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
1215 |
Total Drug Medicare AllowedAmount |
548.43 |
Total Drug Medicare PaymentAmount |
537.43 |
Total Drug Medicare Standardized Payment Amount |
537.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
2040 |
Number Of Medicare Beneficiaries With Medical Services |
256 |
Total Medical Submitted Charge Amount |
731709 |
Total Medical Medicare Allowed Amount |
218796.66 |
Total Medical Medicare Payment Amount |
170313.22 |
Total Medical Medicare Standardized Payment Amount |
191161.33 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
40 |
Number Of Beneficiaries Age 75 to 84 |
96 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
174 |
Number Of Male Beneficiaries |
82 |
Number Of Non Hispanic White Beneficiaries |
133 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
147 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
66 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
61 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
3.147 |