National Provider Identifier [NPI]: |
1386810133 |
Last Name Of The Provider |
CHIOU |
First Name Of The Provider |
PHILIP |
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 |
2840 LONG BEACH BLVD |
Street Address 2 Of The Provider |
SUITE 465 |
City Of The Provider |
LONG BEACH |
Zip Code Of The Provider |
908061516 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
1076 |
Number Of Medicare Beneficiaries |
198 |
Total Submitted Charge Amount |
272169.21 |
Total Medicare Allowed Amount |
107570.6 |
Total Medicare Payment Amount |
83505.46 |
Total Medicare Standardized Payment Amount |
72508.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
89 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
9301.02 |
Total Drug Medicare AllowedAmount |
4349.23 |
Total Drug Medicare PaymentAmount |
3409.95 |
Total Drug Medicare Standardized Payment Amount |
3409.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
987 |
Number Of Medicare Beneficiaries With Medical Services |
198 |
Total Medical Submitted Charge Amount |
262868.19 |
Total Medical Medicare Allowed Amount |
103221.37 |
Total Medical Medicare Payment Amount |
80095.51 |
Total Medical Medicare Standardized Payment Amount |
69098.23 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
78 |
Number Of Beneficiaries Age 75 to 84 |
48 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
123 |
Number Of Male Beneficiaries |
75 |
Number Of Non Hispanic White Beneficiaries |
166 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
13 |
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 |
166 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.6808 |