National Provider Identifier [NPI]: |
1639129141 |
Last Name Of The Provider |
CHEE |
First Name Of The Provider |
NICHOLAS |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
30 GARDEN CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONTEREY |
Zip Code Of The Provider |
939405302 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
9372 |
Number Of Medicare Beneficiaries |
2507 |
Total Submitted Charge Amount |
2057471.41 |
Total Medicare Allowed Amount |
1067796.48 |
Total Medicare Payment Amount |
812111.74 |
Total Medicare Standardized Payment Amount |
801545.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1177 |
Number Of Medicare Beneficiaries With Drug Services |
282 |
Total Drug Submitted ChargeAmount |
86607.63 |
Total Drug Medicare AllowedAmount |
60584.57 |
Total Drug Medicare PaymentAmount |
46999.36 |
Total Drug Medicare Standardized Payment Amount |
46999.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
8195 |
Number Of Medicare Beneficiaries With Medical Services |
2507 |
Total Medical Submitted Charge Amount |
1970863.78 |
Total Medical Medicare Allowed Amount |
1007211.91 |
Total Medical Medicare Payment Amount |
765112.38 |
Total Medical Medicare Standardized Payment Amount |
754546.11 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
139 |
Number Of Beneficiaries Age 65 to 74 |
885 |
Number Of Beneficiaries Age 75 to 84 |
924 |
Number Of Beneficiaries Age Greater 84 |
559 |
Number Of Female Beneficiaries |
1242 |
Number Of Male Beneficiaries |
1265 |
Number Of Non Hispanic White Beneficiaries |
1921 |
Number Of Black or African American Beneficiaries |
96 |
Number Of AsianPacific Islander Beneficiaries |
129 |
Number Of Hispanic Beneficiaries |
279 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2160 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
347 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3569 |