National Provider Identifier [NPI]: |
1659534501 |
Last Name Of The Provider |
CHUA |
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 |
100 HOSPITAL RD |
Street Address 2 Of The Provider |
SUITE 2A |
City Of The Provider |
LEOMINSTER |
Zip Code Of The Provider |
014532253 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
1944 |
Number Of Medicare Beneficiaries |
687 |
Total Submitted Charge Amount |
576869 |
Total Medicare Allowed Amount |
241359.37 |
Total Medicare Payment Amount |
188293.04 |
Total Medicare Standardized Payment Amount |
185348.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
35 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
2300 |
Total Drug Medicare AllowedAmount |
942.38 |
Total Drug Medicare PaymentAmount |
923.53 |
Total Drug Medicare Standardized Payment Amount |
923.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1909 |
Number Of Medicare Beneficiaries With Medical Services |
687 |
Total Medical Submitted Charge Amount |
574569 |
Total Medical Medicare Allowed Amount |
240416.99 |
Total Medical Medicare Payment Amount |
187369.51 |
Total Medical Medicare Standardized Payment Amount |
184425.41 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
208 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
149 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
390 |
Number Of Male Beneficiaries |
297 |
Number Of Non Hispanic White Beneficiaries |
596 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
363 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
324 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
38 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
56 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.1026 |