National Provider Identifier [NPI]: |
1922330844 |
Last Name Of The Provider |
CHEN |
First Name Of The Provider |
LINGYI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7710 WOLF RIVER CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
GERMANTOWN |
Zip Code Of The Provider |
381381734 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
134 |
Number Of Services |
30752 |
Number Of Medicare Beneficiaries |
412 |
Total Submitted Charge Amount |
2263514 |
Total Medicare Allowed Amount |
766912.88 |
Total Medicare Payment Amount |
595020.97 |
Total Medicare Standardized Payment Amount |
600447.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
75 |
Number Of Drug Services |
27283 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
1705088 |
Total Drug Medicare AllowedAmount |
616326.68 |
Total Drug Medicare PaymentAmount |
478521.17 |
Total Drug Medicare Standardized Payment Amount |
478521.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
3469 |
Number Of Medicare Beneficiaries With Medical Services |
410 |
Total Medical Submitted Charge Amount |
558426 |
Total Medical Medicare Allowed Amount |
150586.2 |
Total Medical Medicare Payment Amount |
116499.8 |
Total Medical Medicare Standardized Payment Amount |
121925.86 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
260 |
Number Of Male Beneficiaries |
152 |
Number Of Non Hispanic White Beneficiaries |
303 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
342 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.0576 |