National Provider Identifier [NPI]: |
1366491441 |
Last Name Of The Provider |
SUNG |
First Name Of The Provider |
KAI-CHUN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6750 E BAYWOOD AVE |
Street Address 2 Of The Provider |
301 |
City Of The Provider |
MESA |
Zip Code Of The Provider |
852061749 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
10086 |
Number Of Medicare Beneficiaries |
2187 |
Total Submitted Charge Amount |
1572170 |
Total Medicare Allowed Amount |
775065.3 |
Total Medicare Payment Amount |
583267.98 |
Total Medicare Standardized Payment Amount |
591655.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
45 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
4677 |
Total Drug Medicare AllowedAmount |
2328.29 |
Total Drug Medicare PaymentAmount |
1657.23 |
Total Drug Medicare Standardized Payment Amount |
1657.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
10041 |
Number Of Medicare Beneficiaries With Medical Services |
2187 |
Total Medical Submitted Charge Amount |
1567493 |
Total Medical Medicare Allowed Amount |
772737.01 |
Total Medical Medicare Payment Amount |
581610.75 |
Total Medical Medicare Standardized Payment Amount |
589998.46 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
702 |
Number Of Beneficiaries Age 75 to 84 |
901 |
Number Of Beneficiaries Age Greater 84 |
500 |
Number Of Female Beneficiaries |
932 |
Number Of Male Beneficiaries |
1255 |
Number Of Non Hispanic White Beneficiaries |
2034 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
2080 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
107 |
Percent Of With Atrial Fibrillation |
56 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7295 |