National Provider Identifier [NPI]: |
1427123488 |
Last Name Of The Provider |
CHANG |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 NORTH GARFIELD AVENUE |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
MONTEREY PARK |
Zip Code Of The Provider |
917541242 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
11617 |
Number Of Medicare Beneficiaries |
570 |
Total Submitted Charge Amount |
996052 |
Total Medicare Allowed Amount |
709739.97 |
Total Medicare Payment Amount |
547813.04 |
Total Medicare Standardized Payment Amount |
516981.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2313 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
16962 |
Total Drug Medicare AllowedAmount |
9659.4 |
Total Drug Medicare PaymentAmount |
7654.77 |
Total Drug Medicare Standardized Payment Amount |
7654.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
9304 |
Number Of Medicare Beneficiaries With Medical Services |
570 |
Total Medical Submitted Charge Amount |
979090 |
Total Medical Medicare Allowed Amount |
700080.57 |
Total Medical Medicare Payment Amount |
540158.27 |
Total Medical Medicare Standardized Payment Amount |
509326.94 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
180 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
310 |
Number Of Male Beneficiaries |
260 |
Number Of Non Hispanic White Beneficiaries |
159 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
203 |
Number Of Hispanic Beneficiaries |
165 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
162 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
408 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
52 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
64 |
Percent Of With Chronic Obstructive Pulmonary Disease |
49 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
3.4863 |