National Provider Identifier [NPI]: |
1508968850 |
Last Name Of The Provider |
WEI |
First Name Of The Provider |
CHIK-FONG |
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 |
6400 FANNIN ST |
Street Address 2 Of The Provider |
STE 2210-B |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770301521 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
5786 |
Number Of Medicare Beneficiaries |
1670 |
Total Submitted Charge Amount |
1249342.12 |
Total Medicare Allowed Amount |
428938.11 |
Total Medicare Payment Amount |
319619.76 |
Total Medicare Standardized Payment Amount |
326762.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
893 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
45384.04 |
Total Drug Medicare AllowedAmount |
12695.15 |
Total Drug Medicare PaymentAmount |
9952.9 |
Total Drug Medicare Standardized Payment Amount |
9952.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
4893 |
Number Of Medicare Beneficiaries With Medical Services |
1670 |
Total Medical Submitted Charge Amount |
1203958.08 |
Total Medical Medicare Allowed Amount |
416242.96 |
Total Medical Medicare Payment Amount |
309666.86 |
Total Medical Medicare Standardized Payment Amount |
316809.47 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
209 |
Number Of Beneficiaries Age 65 to 74 |
634 |
Number Of Beneficiaries Age 75 to 84 |
575 |
Number Of Beneficiaries Age Greater 84 |
252 |
Number Of Female Beneficiaries |
931 |
Number Of Male Beneficiaries |
739 |
Number Of Non Hispanic White Beneficiaries |
1235 |
Number Of Black or African American Beneficiaries |
260 |
Number Of AsianPacific Islander Beneficiaries |
36 |
Number Of Hispanic Beneficiaries |
127 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1333 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
337 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.1401 |