National Provider Identifier [NPI]: |
1548209646 |
Last Name Of The Provider |
HSU |
First Name Of The Provider |
HSIEN-WEN |
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 |
2220 GLADSTONE DR |
Street Address 2 Of The Provider |
SUITE 3 |
City Of The Provider |
PITTSBURG |
Zip Code Of The Provider |
945655123 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
3662 |
Number Of Medicare Beneficiaries |
725 |
Total Submitted Charge Amount |
589243.5 |
Total Medicare Allowed Amount |
417703.12 |
Total Medicare Payment Amount |
320518.44 |
Total Medicare Standardized Payment Amount |
293556.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
201 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
5585.5 |
Total Drug Medicare AllowedAmount |
4112.79 |
Total Drug Medicare PaymentAmount |
3993.73 |
Total Drug Medicare Standardized Payment Amount |
3993.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
3461 |
Number Of Medicare Beneficiaries With Medical Services |
725 |
Total Medical Submitted Charge Amount |
583658 |
Total Medical Medicare Allowed Amount |
413590.33 |
Total Medical Medicare Payment Amount |
316524.71 |
Total Medical Medicare Standardized Payment Amount |
289562.97 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
239 |
Number Of Beneficiaries Age 75 to 84 |
216 |
Number Of Beneficiaries Age Greater 84 |
135 |
Number Of Female Beneficiaries |
415 |
Number Of Male Beneficiaries |
310 |
Number Of Non Hispanic White Beneficiaries |
408 |
Number Of Black or African American Beneficiaries |
107 |
Number Of AsianPacific Islander Beneficiaries |
67 |
Number Of Hispanic Beneficiaries |
129 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
388 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
337 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
30 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
58 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.1868 |