National Provider Identifier [NPI]: |
1851503270 |
Last Name Of The Provider |
JUNG |
First Name Of The Provider |
JENNIFER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
301 S 7TH AVE |
Street Address 2 Of The Provider |
STE 135 |
City Of The Provider |
WEST READING |
Zip Code Of The Provider |
196111410 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
137 |
Number Of Services |
3591 |
Number Of Medicare Beneficiaries |
2369 |
Total Submitted Charge Amount |
396533 |
Total Medicare Allowed Amount |
122632.48 |
Total Medicare Payment Amount |
93392.75 |
Total Medicare Standardized Payment Amount |
98917.43 |
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 |
137 |
Number Of Medical Services |
3591 |
Number Of Medicare Beneficiaries With Medical Services |
2369 |
Total Medical Submitted Charge Amount |
396533 |
Total Medical Medicare Allowed Amount |
122632.48 |
Total Medical Medicare Payment Amount |
93392.75 |
Total Medical Medicare Standardized Payment Amount |
98917.43 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
424 |
Number Of Beneficiaries Age 65 to 74 |
705 |
Number Of Beneficiaries Age 75 to 84 |
720 |
Number Of Beneficiaries Age Greater 84 |
520 |
Number Of Female Beneficiaries |
1416 |
Number Of Male Beneficiaries |
953 |
Number Of Non Hispanic White Beneficiaries |
2048 |
Number Of Black or African American Beneficiaries |
82 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
202 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1813 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
556 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7831 |