National Provider Identifier [NPI]: |
1679504393 |
Last Name Of The Provider |
CHEN |
First Name Of The Provider |
WEBER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 N GARFIELD AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MONTEREY PARK |
Zip Code Of The Provider |
917541166 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
34832 |
Number Of Medicare Beneficiaries |
555 |
Total Submitted Charge Amount |
2030949 |
Total Medicare Allowed Amount |
767671.22 |
Total Medicare Payment Amount |
591819.65 |
Total Medicare Standardized Payment Amount |
569850.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
34 |
Number Of Drug Services |
31330 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
1544099 |
Total Drug Medicare AllowedAmount |
456773.4 |
Total Drug Medicare PaymentAmount |
356904.01 |
Total Drug Medicare Standardized Payment Amount |
356904.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
3502 |
Number Of Medicare Beneficiaries With Medical Services |
555 |
Total Medical Submitted Charge Amount |
486850 |
Total Medical Medicare Allowed Amount |
310897.82 |
Total Medical Medicare Payment Amount |
234915.64 |
Total Medical Medicare Standardized Payment Amount |
212946.62 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
158 |
Number Of Beneficiaries Age 75 to 84 |
204 |
Number Of Beneficiaries Age Greater 84 |
149 |
Number Of Female Beneficiaries |
315 |
Number Of Male Beneficiaries |
240 |
Number Of Non Hispanic White Beneficiaries |
45 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
427 |
Number Of Hispanic Beneficiaries |
64 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
103 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
452 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.7512 |