National Provider Identifier [NPI]: |
1750585287 |
Last Name Of The Provider |
CHU |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
235 N BELLE MEAD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
E SETAUKET |
Zip Code Of The Provider |
117333456 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
207 |
Number Of Services |
222810 |
Number Of Medicare Beneficiaries |
1697 |
Total Submitted Charge Amount |
6613741.99 |
Total Medicare Allowed Amount |
3127971.81 |
Total Medicare Payment Amount |
2459313.87 |
Total Medicare Standardized Payment Amount |
2379628.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
93 |
Number Of Drug Services |
195430 |
Number Of Medicare Beneficiaries With Drug Services |
548 |
Total Drug Submitted ChargeAmount |
3434423.68 |
Total Drug Medicare AllowedAmount |
1856053.5 |
Total Drug Medicare PaymentAmount |
1454456.61 |
Total Drug Medicare Standardized Payment Amount |
1454456.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
27380 |
Number Of Medicare Beneficiaries With Medical Services |
1697 |
Total Medical Submitted Charge Amount |
3179318.31 |
Total Medical Medicare Allowed Amount |
1271918.31 |
Total Medical Medicare Payment Amount |
1004857.26 |
Total Medical Medicare Standardized Payment Amount |
925171.64 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
242 |
Number Of Beneficiaries Age 65 to 74 |
583 |
Number Of Beneficiaries Age 75 to 84 |
588 |
Number Of Beneficiaries Age Greater 84 |
284 |
Number Of Female Beneficiaries |
963 |
Number Of Male Beneficiaries |
734 |
Number Of Non Hispanic White Beneficiaries |
1539 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
69 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
1405 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
292 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
39 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.2895 |