Medicare Facts for Dr. Kelly L. Wong, MD


National Provider Identifier [NPI]: 1205174505
Last Name Of The Provider WONG
First Name Of The Provider KELLY
Middle Initial Of The Provider L
Credentials Of The Provider MD.,
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 4001 J ST
Street Address 2 Of The Provider
City Of The Provider SACRAMENTO
Zip Code Of The Provider 958193626
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 33
Number Of Services 665
Number Of Medicare Beneficiaries 181
Total Submitted Charge Amount 201242
Total Medicare Allowed Amount 90668.15
Total Medicare Payment Amount 69644.38
Total Medicare Standardized Payment Amount 63580.54
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 21
Number Of Beneficiaries Age 65 to 74 67
Number Of Beneficiaries Age 75 to 84 53
Number Of Beneficiaries Age Greater 84 40
Number Of Female Beneficiaries 115
Number Of Male Beneficiaries 66
Number Of Non Hispanic White Beneficiaries 130
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 22
Number Of Hispanic Beneficiaries 16
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 127
Number Of Beneficiaries With Medicare Medicaid Entitlement 54
Percent Of With Atrial Fibrillation 23
Percent Of With Alzheimers Disease or Dementia 29
Percent Of With Asthma 15
Percent Of With Cancer 14
Percent Of With Heart Failure 36
Percent Of With Chronic Kidney Disease 47
Percent Of With Chronic Obstructive Pulmonary Disease 23
Percent Of With Depression 32
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 50
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 2.2345

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