National Provider Identifier [NPI]: |
1972537579 |
Last Name Of The Provider |
CHEN |
First Name Of The Provider |
CHU-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 |
823 SW MULVANE ST |
Street Address 2 Of The Provider |
SUITE 275 |
City Of The Provider |
TOPEKA |
Zip Code Of The Provider |
666061764 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
131 |
Number Of Services |
11431 |
Number Of Medicare Beneficiaries |
1308 |
Total Submitted Charge Amount |
1911183.91 |
Total Medicare Allowed Amount |
715634.56 |
Total Medicare Payment Amount |
534313.28 |
Total Medicare Standardized Payment Amount |
565990.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
3530 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
362070.5 |
Total Drug Medicare AllowedAmount |
103333.13 |
Total Drug Medicare PaymentAmount |
80953.24 |
Total Drug Medicare Standardized Payment Amount |
80953.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
121 |
Number Of Medical Services |
7901 |
Number Of Medicare Beneficiaries With Medical Services |
1308 |
Total Medical Submitted Charge Amount |
1549113.41 |
Total Medical Medicare Allowed Amount |
612301.43 |
Total Medical Medicare Payment Amount |
453360.04 |
Total Medical Medicare Standardized Payment Amount |
485037.73 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
160 |
Number Of Beneficiaries Age 65 to 74 |
473 |
Number Of Beneficiaries Age 75 to 84 |
473 |
Number Of Beneficiaries Age Greater 84 |
202 |
Number Of Female Beneficiaries |
428 |
Number Of Male Beneficiaries |
880 |
Number Of Non Hispanic White Beneficiaries |
1155 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1130 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
178 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3528 |