National Provider Identifier [NPI]: |
1053335117 |
Last Name Of The Provider |
TSANG |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3300 WEBSTER ST |
Street Address 2 Of The Provider |
SUITE 404-410 |
City Of The Provider |
OAKLAND |
Zip Code Of The Provider |
946093117 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
2401 |
Number Of Medicare Beneficiaries |
967 |
Total Submitted Charge Amount |
608876.53 |
Total Medicare Allowed Amount |
306924.47 |
Total Medicare Payment Amount |
230297.64 |
Total Medicare Standardized Payment Amount |
201657.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
172 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
16039 |
Total Drug Medicare AllowedAmount |
9104.1 |
Total Drug Medicare PaymentAmount |
6992.24 |
Total Drug Medicare Standardized Payment Amount |
6992.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
2229 |
Number Of Medicare Beneficiaries With Medical Services |
967 |
Total Medical Submitted Charge Amount |
592837.53 |
Total Medical Medicare Allowed Amount |
297820.37 |
Total Medical Medicare Payment Amount |
223305.4 |
Total Medical Medicare Standardized Payment Amount |
194665.72 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
381 |
Number Of Beneficiaries Age 75 to 84 |
296 |
Number Of Beneficiaries Age Greater 84 |
195 |
Number Of Female Beneficiaries |
446 |
Number Of Male Beneficiaries |
521 |
Number Of Non Hispanic White Beneficiaries |
590 |
Number Of Black or African American Beneficiaries |
188 |
Number Of AsianPacific Islander Beneficiaries |
97 |
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
47 |
Number Of Beneficiaries With Medicare Only Entitlement |
709 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
258 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5726 |