National Provider Identifier [NPI]: |
1851373773 |
Last Name Of The Provider |
CHEUNG |
First Name Of The Provider |
CHI |
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 |
19 DEPOT ST |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
ADAMS |
Zip Code Of The Provider |
012201856 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
4420 |
Number Of Medicare Beneficiaries |
580 |
Total Submitted Charge Amount |
376107 |
Total Medicare Allowed Amount |
280785.81 |
Total Medicare Payment Amount |
200198.1 |
Total Medicare Standardized Payment Amount |
195846.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
272 |
Number Of Medicare Beneficiaries With Drug Services |
247 |
Total Drug Submitted ChargeAmount |
7330 |
Total Drug Medicare AllowedAmount |
4358.96 |
Total Drug Medicare PaymentAmount |
4247.27 |
Total Drug Medicare Standardized Payment Amount |
4247.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
4148 |
Number Of Medicare Beneficiaries With Medical Services |
580 |
Total Medical Submitted Charge Amount |
368777 |
Total Medical Medicare Allowed Amount |
276426.85 |
Total Medical Medicare Payment Amount |
195950.83 |
Total Medical Medicare Standardized Payment Amount |
191598.9 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
221 |
Number Of Beneficiaries Age 75 to 84 |
169 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
326 |
Number Of Male Beneficiaries |
254 |
Number Of Non Hispanic White Beneficiaries |
564 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
401 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
179 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
22 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2783 |