National Provider Identifier [NPI]: |
1881783074 |
Last Name Of The Provider |
CHENG |
First Name Of The Provider |
WAYNE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1840 MEASE DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SAFETY HARBOR |
Zip Code Of The Provider |
346956602 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
5287 |
Number Of Medicare Beneficiaries |
2133 |
Total Submitted Charge Amount |
1089777.1 |
Total Medicare Allowed Amount |
370522.29 |
Total Medicare Payment Amount |
282905.99 |
Total Medicare Standardized Payment Amount |
284548.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
177 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
24429.48 |
Total Drug Medicare AllowedAmount |
9151.78 |
Total Drug Medicare PaymentAmount |
7174.96 |
Total Drug Medicare Standardized Payment Amount |
7174.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
5110 |
Number Of Medicare Beneficiaries With Medical Services |
2133 |
Total Medical Submitted Charge Amount |
1065347.62 |
Total Medical Medicare Allowed Amount |
361370.51 |
Total Medical Medicare Payment Amount |
275731.03 |
Total Medical Medicare Standardized Payment Amount |
277373.57 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
230 |
Number Of Beneficiaries Age 65 to 74 |
547 |
Number Of Beneficiaries Age 75 to 84 |
648 |
Number Of Beneficiaries Age Greater 84 |
708 |
Number Of Female Beneficiaries |
1191 |
Number Of Male Beneficiaries |
942 |
Number Of Non Hispanic White Beneficiaries |
1957 |
Number Of Black or African American Beneficiaries |
76 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1665 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
468 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.963 |