National Provider Identifier [NPI]: |
1619991262 |
Last Name Of The Provider |
CHE |
First Name Of The Provider |
HUNG |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
910 S SUNSET AVE STE 2 |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST COVINA |
Zip Code Of The Provider |
917903409 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
4924 |
Number Of Medicare Beneficiaries |
639 |
Total Submitted Charge Amount |
680880 |
Total Medicare Allowed Amount |
448564.09 |
Total Medicare Payment Amount |
349602.29 |
Total Medicare Standardized Payment Amount |
330473.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
1440 |
Total Drug Medicare AllowedAmount |
612.57 |
Total Drug Medicare PaymentAmount |
600.36 |
Total Drug Medicare Standardized Payment Amount |
600.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
4885 |
Number Of Medicare Beneficiaries With Medical Services |
639 |
Total Medical Submitted Charge Amount |
679440 |
Total Medical Medicare Allowed Amount |
447951.52 |
Total Medical Medicare Payment Amount |
349001.93 |
Total Medical Medicare Standardized Payment Amount |
329873.34 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
153 |
Number Of Beneficiaries Age 75 to 84 |
214 |
Number Of Beneficiaries Age Greater 84 |
170 |
Number Of Female Beneficiaries |
371 |
Number Of Male Beneficiaries |
268 |
Number Of Non Hispanic White Beneficiaries |
165 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
136 |
Number Of Hispanic Beneficiaries |
295 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
157 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
482 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
40 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
66 |
Percent Of With Chronic Kidney Disease |
67 |
Percent Of With Chronic Obstructive Pulmonary Disease |
56 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
3.693 |