National Provider Identifier [NPI]: |
1093800138 |
Last Name Of The Provider |
CHOI |
First Name Of The Provider |
CHEONG |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16912 SHERMAN WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
VAN NUYS |
Zip Code Of The Provider |
91406 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
2481 |
Number Of Medicare Beneficiaries |
375 |
Total Submitted Charge Amount |
149340 |
Total Medicare Allowed Amount |
136225.29 |
Total Medicare Payment Amount |
85847.62 |
Total Medicare Standardized Payment Amount |
92838.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
198 |
Number Of Medicare Beneficiaries With Drug Services |
185 |
Total Drug Submitted ChargeAmount |
6830 |
Total Drug Medicare AllowedAmount |
3667.73 |
Total Drug Medicare PaymentAmount |
3584.75 |
Total Drug Medicare Standardized Payment Amount |
3584.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
2283 |
Number Of Medicare Beneficiaries With Medical Services |
375 |
Total Medical Submitted Charge Amount |
142510 |
Total Medical Medicare Allowed Amount |
132557.56 |
Total Medical Medicare Payment Amount |
82262.87 |
Total Medical Medicare Standardized Payment Amount |
89253.43 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
144 |
Number Of Beneficiaries Age 75 to 84 |
147 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
242 |
Number Of Male Beneficiaries |
133 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
343 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
86 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
289 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0413 |