National Provider Identifier [NPI]: |
1427109313 |
Last Name Of The Provider |
CHEN |
First Name Of The Provider |
RYAN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
61 WHITCHER ST NE |
Street Address 2 Of The Provider |
SUITE 1100 |
City Of The Provider |
MARIETTA |
Zip Code Of The Provider |
300601176 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
2203 |
Number Of Medicare Beneficiaries |
384 |
Total Submitted Charge Amount |
579931.45 |
Total Medicare Allowed Amount |
177629.19 |
Total Medicare Payment Amount |
133477.28 |
Total Medicare Standardized Payment Amount |
134072.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
474 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
38903 |
Total Drug Medicare AllowedAmount |
15907.34 |
Total Drug Medicare PaymentAmount |
12331.64 |
Total Drug Medicare Standardized Payment Amount |
12331.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
1729 |
Number Of Medicare Beneficiaries With Medical Services |
384 |
Total Medical Submitted Charge Amount |
541028.45 |
Total Medical Medicare Allowed Amount |
161721.85 |
Total Medical Medicare Payment Amount |
121145.64 |
Total Medical Medicare Standardized Payment Amount |
121741.11 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
198 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
248 |
Number Of Male Beneficiaries |
136 |
Number Of Non Hispanic White Beneficiaries |
321 |
Number Of Black or African American Beneficiaries |
40 |
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 |
42 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1513 |