National Provider Identifier [NPI]: |
1578550752 |
Last Name Of The Provider |
CHON |
First Name Of The Provider |
CHRIS |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9669 KENTON AVE |
Street Address 2 Of The Provider |
#405 |
City Of The Provider |
SKOKIE |
Zip Code Of The Provider |
600761266 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
6842 |
Number Of Medicare Beneficiaries |
913 |
Total Submitted Charge Amount |
462871 |
Total Medicare Allowed Amount |
307360.28 |
Total Medicare Payment Amount |
231277.68 |
Total Medicare Standardized Payment Amount |
215069.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
406 |
Number Of Medicare Beneficiaries With Drug Services |
382 |
Total Drug Submitted ChargeAmount |
18110 |
Total Drug Medicare AllowedAmount |
8719.7 |
Total Drug Medicare PaymentAmount |
8545.41 |
Total Drug Medicare Standardized Payment Amount |
8545.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
6436 |
Number Of Medicare Beneficiaries With Medical Services |
913 |
Total Medical Submitted Charge Amount |
444761 |
Total Medical Medicare Allowed Amount |
298640.58 |
Total Medical Medicare Payment Amount |
222732.27 |
Total Medical Medicare Standardized Payment Amount |
206524.46 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
463 |
Number Of Beneficiaries Age 75 to 84 |
310 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
515 |
Number Of Male Beneficiaries |
398 |
Number Of Non Hispanic White Beneficiaries |
158 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
667 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
66 |
Number Of Beneficiaries With Medicare Only Entitlement |
453 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
460 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.067 |