National Provider Identifier [NPI]: |
1114983376 |
Last Name Of The Provider |
CHOW |
First Name Of The Provider |
LEON |
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 |
1658 ST VINCENTS WAY |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
MIDDLEBURG |
Zip Code Of The Provider |
320688431 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
6077 |
Number Of Medicare Beneficiaries |
1949 |
Total Submitted Charge Amount |
1370630 |
Total Medicare Allowed Amount |
450048.42 |
Total Medicare Payment Amount |
339562.47 |
Total Medicare Standardized Payment Amount |
345947.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
518 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
83398 |
Total Drug Medicare AllowedAmount |
27455.9 |
Total Drug Medicare PaymentAmount |
21400.32 |
Total Drug Medicare Standardized Payment Amount |
21400.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
5559 |
Number Of Medicare Beneficiaries With Medical Services |
1949 |
Total Medical Submitted Charge Amount |
1287232 |
Total Medical Medicare Allowed Amount |
422592.52 |
Total Medical Medicare Payment Amount |
318162.15 |
Total Medical Medicare Standardized Payment Amount |
324547.37 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
210 |
Number Of Beneficiaries Age 65 to 74 |
783 |
Number Of Beneficiaries Age 75 to 84 |
674 |
Number Of Beneficiaries Age Greater 84 |
282 |
Number Of Female Beneficiaries |
1015 |
Number Of Male Beneficiaries |
934 |
Number Of Non Hispanic White Beneficiaries |
1741 |
Number Of Black or African American Beneficiaries |
91 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1663 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
286 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5419 |