| National Provider Identifier [NPI]: | 1326171489 |
| Last Name Of The Provider | CHANG |
| First Name Of The Provider | ANDREW |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 12951 SOUTH FWY |
| Street Address 2 Of The Provider | |
| City Of The Provider | HOUSTON |
| Zip Code Of The Provider | 770471923 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 147 |
| Number Of Services | 8172 |
| Number Of Medicare Beneficiaries | 4850 |
| Total Submitted Charge Amount | 1288438.98 |
| Total Medicare Allowed Amount | 217884.22 |
| Total Medicare Payment Amount | 165533.7 |
| Total Medicare Standardized Payment Amount | 166716.06 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 147 |
| Number Of Medical Services | 8172 |
| Number Of Medicare Beneficiaries With Medical Services | 4850 |
| Total Medical Submitted Charge Amount | 1288438.98 |
| Total Medical Medicare Allowed Amount | 217884.22 |
| Total Medical Medicare Payment Amount | 165533.7 |
| Total Medical Medicare Standardized Payment Amount | 166716.06 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 780 |
| Number Of Beneficiaries Age 65 to 74 | 1771 |
| Number Of Beneficiaries Age 75 to 84 | 1471 |
| Number Of Beneficiaries Age Greater 84 | 828 |
| Number Of Female Beneficiaries | 2689 |
| Number Of Male Beneficiaries | 2161 |
| Number Of Non Hispanic White Beneficiaries | 3404 |
| Number Of Black or African American Beneficiaries | 875 |
| Number Of AsianPacific Islander Beneficiaries | 104 |
| Number Of Hispanic Beneficiaries | 425 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3966 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 884 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 19 |
| Average HCC Risk Score Of Beneficiaries | 2.2292 |