National Provider Identifier [NPI]: |
1629036819 |
Last Name Of The Provider |
SUN |
First Name Of The Provider |
JULIE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11500 BROOKSHIRE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
DOWNEY |
Zip Code Of The Provider |
902414917 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
189 |
Number Of Services |
5478 |
Number Of Medicare Beneficiaries |
2708 |
Total Submitted Charge Amount |
982358 |
Total Medicare Allowed Amount |
244456.55 |
Total Medicare Payment Amount |
188178.04 |
Total Medicare Standardized Payment Amount |
172387.1 |
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 |
189 |
Number Of Medical Services |
5478 |
Number Of Medicare Beneficiaries With Medical Services |
2708 |
Total Medical Submitted Charge Amount |
982358 |
Total Medical Medicare Allowed Amount |
244456.55 |
Total Medical Medicare Payment Amount |
188178.04 |
Total Medical Medicare Standardized Payment Amount |
172387.1 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
339 |
Number Of Beneficiaries Age 65 to 74 |
824 |
Number Of Beneficiaries Age 75 to 84 |
933 |
Number Of Beneficiaries Age Greater 84 |
612 |
Number Of Female Beneficiaries |
1746 |
Number Of Male Beneficiaries |
962 |
Number Of Non Hispanic White Beneficiaries |
688 |
Number Of Black or African American Beneficiaries |
127 |
Number Of AsianPacific Islander Beneficiaries |
691 |
Number Of Hispanic Beneficiaries |
1175 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
761 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1947 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.1348 |