National Provider Identifier [NPI]: |
1679682876 |
Last Name Of The Provider |
HSU |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11101 LA REINA AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
DOWNEY |
Zip Code Of The Provider |
902414237 |
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 |
14 |
Number Of Services |
3474 |
Number Of Medicare Beneficiaries |
478 |
Total Submitted Charge Amount |
461175 |
Total Medicare Allowed Amount |
326233.18 |
Total Medicare Payment Amount |
252099.46 |
Total Medicare Standardized Payment Amount |
239042.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
20 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
420 |
Total Drug Medicare AllowedAmount |
196.7 |
Total Drug Medicare PaymentAmount |
190.18 |
Total Drug Medicare Standardized Payment Amount |
190.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
12 |
Number Of Medical Services |
3454 |
Number Of Medicare Beneficiaries With Medical Services |
478 |
Total Medical Submitted Charge Amount |
460755 |
Total Medical Medicare Allowed Amount |
326036.48 |
Total Medical Medicare Payment Amount |
251909.28 |
Total Medical Medicare Standardized Payment Amount |
238852.75 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
82 |
Number Of Beneficiaries Age 65 to 74 |
134 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
283 |
Number Of Male Beneficiaries |
195 |
Number Of Non Hispanic White Beneficiaries |
183 |
Number Of Black or African American Beneficiaries |
94 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
148 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
173 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
305 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
3.1529 |