National Provider Identifier [NPI]: |
1982806105 |
Last Name Of The Provider |
CHIU |
First Name Of The Provider |
VICTORIA |
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 |
2811 N VENTURA RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
OXNARD |
Zip Code Of The Provider |
930362213 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
3183 |
Number Of Medicare Beneficiaries |
592 |
Total Submitted Charge Amount |
301222.4 |
Total Medicare Allowed Amount |
235462.24 |
Total Medicare Payment Amount |
171866.43 |
Total Medicare Standardized Payment Amount |
150397.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
656 |
Number Of Medicare Beneficiaries With Drug Services |
110 |
Total Drug Submitted ChargeAmount |
3280 |
Total Drug Medicare AllowedAmount |
1169.41 |
Total Drug Medicare PaymentAmount |
837.35 |
Total Drug Medicare Standardized Payment Amount |
837.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
2527 |
Number Of Medicare Beneficiaries With Medical Services |
592 |
Total Medical Submitted Charge Amount |
297942.4 |
Total Medical Medicare Allowed Amount |
234292.83 |
Total Medical Medicare Payment Amount |
171029.08 |
Total Medical Medicare Standardized Payment Amount |
149560.32 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
236 |
Number Of Beneficiaries Age 75 to 84 |
195 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
339 |
Number Of Male Beneficiaries |
253 |
Number Of Non Hispanic White Beneficiaries |
354 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
45 |
Number Of Hispanic Beneficiaries |
167 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
162 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2197 |