National Provider Identifier [NPI]: |
1871537365 |
Last Name Of The Provider |
CHU |
First Name Of The Provider |
KEITH |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8100 ASHTON AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MANASSAS |
Zip Code Of The Provider |
201095688 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
5590 |
Number Of Medicare Beneficiaries |
1755 |
Total Submitted Charge Amount |
1269240 |
Total Medicare Allowed Amount |
535323.97 |
Total Medicare Payment Amount |
399470.42 |
Total Medicare Standardized Payment Amount |
400314.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
433 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
44068 |
Total Drug Medicare AllowedAmount |
22857.32 |
Total Drug Medicare PaymentAmount |
17661.23 |
Total Drug Medicare Standardized Payment Amount |
17661.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
5157 |
Number Of Medicare Beneficiaries With Medical Services |
1755 |
Total Medical Submitted Charge Amount |
1225172 |
Total Medical Medicare Allowed Amount |
512466.65 |
Total Medical Medicare Payment Amount |
381809.19 |
Total Medical Medicare Standardized Payment Amount |
382653.69 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
714 |
Number Of Beneficiaries Age 75 to 84 |
677 |
Number Of Beneficiaries Age Greater 84 |
269 |
Number Of Female Beneficiaries |
831 |
Number Of Male Beneficiaries |
924 |
Number Of Non Hispanic White Beneficiaries |
1291 |
Number Of Black or African American Beneficiaries |
141 |
Number Of AsianPacific Islander Beneficiaries |
239 |
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1470 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
285 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4768 |