National Provider Identifier [NPI]: |
1093793101 |
Last Name Of The Provider |
CHEN |
First Name Of The Provider |
HENRY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
762 59TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BROOKLYN |
Zip Code Of The Provider |
112203936 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
10437 |
Number Of Medicare Beneficiaries |
1089 |
Total Submitted Charge Amount |
996721.47 |
Total Medicare Allowed Amount |
735257.16 |
Total Medicare Payment Amount |
547456.85 |
Total Medicare Standardized Payment Amount |
479309.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1287 |
Number Of Medicare Beneficiaries With Drug Services |
536 |
Total Drug Submitted ChargeAmount |
52495 |
Total Drug Medicare AllowedAmount |
36217.08 |
Total Drug Medicare PaymentAmount |
34091.44 |
Total Drug Medicare Standardized Payment Amount |
34091.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
9150 |
Number Of Medicare Beneficiaries With Medical Services |
1089 |
Total Medical Submitted Charge Amount |
944226.47 |
Total Medical Medicare Allowed Amount |
699040.08 |
Total Medical Medicare Payment Amount |
513365.41 |
Total Medical Medicare Standardized Payment Amount |
445218.5 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
346 |
Number Of Beneficiaries Age 75 to 84 |
481 |
Number Of Beneficiaries Age Greater 84 |
205 |
Number Of Female Beneficiaries |
705 |
Number Of Male Beneficiaries |
384 |
Number Of Non Hispanic White Beneficiaries |
11 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
1054 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
39 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1050 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
6 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
28 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.3362 |