National Provider Identifier [NPI]: |
1083668693 |
Last Name Of The Provider |
CHIU |
First Name Of The Provider |
RICHARD |
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 |
2023 PULASKI HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAVRE DE GRACE |
Zip Code Of The Provider |
210782137 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
5759 |
Number Of Medicare Beneficiaries |
750 |
Total Submitted Charge Amount |
1693695 |
Total Medicare Allowed Amount |
1344841.28 |
Total Medicare Payment Amount |
1027016.93 |
Total Medicare Standardized Payment Amount |
1009884.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2399 |
Number Of Medicare Beneficiaries With Drug Services |
166 |
Total Drug Submitted ChargeAmount |
1220376 |
Total Drug Medicare AllowedAmount |
965693.49 |
Total Drug Medicare PaymentAmount |
749241.72 |
Total Drug Medicare Standardized Payment Amount |
749241.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3360 |
Number Of Medicare Beneficiaries With Medical Services |
750 |
Total Medical Submitted Charge Amount |
473319 |
Total Medical Medicare Allowed Amount |
379147.79 |
Total Medical Medicare Payment Amount |
277775.21 |
Total Medical Medicare Standardized Payment Amount |
260642.5 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
256 |
Number Of Beneficiaries Age 75 to 84 |
265 |
Number Of Beneficiaries Age Greater 84 |
159 |
Number Of Female Beneficiaries |
447 |
Number Of Male Beneficiaries |
303 |
Number Of Non Hispanic White Beneficiaries |
649 |
Number Of Black or African American Beneficiaries |
67 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
651 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5356 |