National Provider Identifier [NPI]: |
1366650772 |
Last Name Of The Provider |
KUO |
First Name Of The Provider |
CHRISTINA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4708 ALLIANCE BLVD STE 300 |
Street Address 2 Of The Provider |
BAYLOR MEDICAL PLAZA 1 |
City Of The Provider |
PLANO |
Zip Code Of The Provider |
750935339 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
5493 |
Number Of Medicare Beneficiaries |
592 |
Total Submitted Charge Amount |
413091.48 |
Total Medicare Allowed Amount |
197828.81 |
Total Medicare Payment Amount |
151023.38 |
Total Medicare Standardized Payment Amount |
159878.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
2516 |
Number Of Medicare Beneficiaries With Drug Services |
112 |
Total Drug Submitted ChargeAmount |
69526 |
Total Drug Medicare AllowedAmount |
16750.29 |
Total Drug Medicare PaymentAmount |
13456.27 |
Total Drug Medicare Standardized Payment Amount |
13456.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
2977 |
Number Of Medicare Beneficiaries With Medical Services |
592 |
Total Medical Submitted Charge Amount |
343565.48 |
Total Medical Medicare Allowed Amount |
181078.52 |
Total Medical Medicare Payment Amount |
137567.11 |
Total Medical Medicare Standardized Payment Amount |
146422.39 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
362 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
467 |
Number Of Male Beneficiaries |
125 |
Number Of Non Hispanic White Beneficiaries |
530 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
566 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8532 |