National Provider Identifier [NPI]: |
1457344483 |
Last Name Of The Provider |
TSAI |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1175 E ARROW HWY |
Street Address 2 Of The Provider |
SUITE E |
City Of The Provider |
UPLAND |
Zip Code Of The Provider |
917865525 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
7169 |
Number Of Medicare Beneficiaries |
1137 |
Total Submitted Charge Amount |
1187485 |
Total Medicare Allowed Amount |
455442.57 |
Total Medicare Payment Amount |
346251.74 |
Total Medicare Standardized Payment Amount |
339856.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
277 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
133435 |
Total Drug Medicare AllowedAmount |
50911.57 |
Total Drug Medicare PaymentAmount |
39822.47 |
Total Drug Medicare Standardized Payment Amount |
39822.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
6892 |
Number Of Medicare Beneficiaries With Medical Services |
1137 |
Total Medical Submitted Charge Amount |
1054050 |
Total Medical Medicare Allowed Amount |
404531 |
Total Medical Medicare Payment Amount |
306429.27 |
Total Medical Medicare Standardized Payment Amount |
300033.98 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
488 |
Number Of Beneficiaries Age 75 to 84 |
383 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
336 |
Number Of Male Beneficiaries |
801 |
Number Of Non Hispanic White Beneficiaries |
858 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
50 |
Number Of Hispanic Beneficiaries |
167 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
977 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
160 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3388 |