National Provider Identifier [NPI]: |
1265447106 |
Last Name Of The Provider |
SHYU |
First Name Of The Provider |
CHANDLER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 N PEPPER AVE |
Street Address 2 Of The Provider |
DEPT OF RADIOLOGY |
City Of The Provider |
COLTON |
Zip Code Of The Provider |
923241801 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
141 |
Number Of Services |
2315 |
Number Of Medicare Beneficiaries |
1272 |
Total Submitted Charge Amount |
185384.22 |
Total Medicare Allowed Amount |
63827.6 |
Total Medicare Payment Amount |
47991.83 |
Total Medicare Standardized Payment Amount |
47717.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
141 |
Number Of Medical Services |
2315 |
Number Of Medicare Beneficiaries With Medical Services |
1272 |
Total Medical Submitted Charge Amount |
185384.22 |
Total Medical Medicare Allowed Amount |
63827.6 |
Total Medical Medicare Payment Amount |
47991.83 |
Total Medical Medicare Standardized Payment Amount |
47717.3 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
403 |
Number Of Beneficiaries Age 65 to 74 |
471 |
Number Of Beneficiaries Age 75 to 84 |
254 |
Number Of Beneficiaries Age Greater 84 |
144 |
Number Of Female Beneficiaries |
716 |
Number Of Male Beneficiaries |
556 |
Number Of Non Hispanic White Beneficiaries |
449 |
Number Of Black or African American Beneficiaries |
203 |
Number Of AsianPacific Islander Beneficiaries |
59 |
Number Of Hispanic Beneficiaries |
541 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
312 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
960 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1897 |