| National Provider Identifier [NPI]: | 1629006895 |
| Last Name Of The Provider | CHEN |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1129 S SAN GABRIEL BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | SAN GABRIEL |
| Zip Code Of The Provider | 917763114 |
| 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 | 201 |
| Number Of Services | 21306 |
| Number Of Medicare Beneficiaries | 8805 |
| Total Submitted Charge Amount | 6070833 |
| Total Medicare Allowed Amount | 2294333.3 |
| Total Medicare Payment Amount | 1655419.93 |
| Total Medicare Standardized Payment Amount | 1468256.32 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 3113 |
| Number Of Medicare Beneficiaries With Drug Services | 89 |
| Total Drug Submitted ChargeAmount | 33172 |
| Total Drug Medicare AllowedAmount | 13454.06 |
| Total Drug Medicare PaymentAmount | 10282.75 |
| Total Drug Medicare Standardized Payment Amount | 10282.75 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 198 |
| Number Of Medical Services | 18193 |
| Number Of Medicare Beneficiaries With Medical Services | 8805 |
| Total Medical Submitted Charge Amount | 6037661 |
| Total Medical Medicare Allowed Amount | 2280879.24 |
| Total Medical Medicare Payment Amount | 1645137.18 |
| Total Medical Medicare Standardized Payment Amount | 1457973.57 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 563 |
| Number Of Beneficiaries Age 65 to 74 | 3837 |
| Number Of Beneficiaries Age 75 to 84 | 3179 |
| Number Of Beneficiaries Age Greater 84 | 1226 |
| Number Of Female Beneficiaries | 5467 |
| Number Of Male Beneficiaries | 3338 |
| Number Of Non Hispanic White Beneficiaries | 269 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 7528 |
| Number Of Hispanic Beneficiaries | 812 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 152 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1480 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 7325 |
| Percent Of With Atrial Fibrillation | 6 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 10 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 27 |
| 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 | 1.3284 |