| National Provider Identifier [NPI]: | 1952341539 |
| Last Name Of The Provider | CHANG |
| First Name Of The Provider | MILES |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | ONE HOAG DRIVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | NEWPORT BEACH |
| Zip Code Of The Provider | 926634162 |
| 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 | 186 |
| Number Of Services | 5789 |
| Number Of Medicare Beneficiaries | 3738 |
| Total Submitted Charge Amount | 783051.82 |
| Total Medicare Allowed Amount | 197056.98 |
| Total Medicare Payment Amount | 145763.72 |
| Total Medicare Standardized Payment Amount | 137665.94 |
| 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 | 186 |
| Number Of Medical Services | 5789 |
| Number Of Medicare Beneficiaries With Medical Services | 3738 |
| Total Medical Submitted Charge Amount | 783051.82 |
| Total Medical Medicare Allowed Amount | 197056.98 |
| Total Medical Medicare Payment Amount | 145763.72 |
| Total Medical Medicare Standardized Payment Amount | 137665.94 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 255 |
| Number Of Beneficiaries Age 65 to 74 | 1396 |
| Number Of Beneficiaries Age 75 to 84 | 1254 |
| Number Of Beneficiaries Age Greater 84 | 833 |
| Number Of Female Beneficiaries | 2187 |
| Number Of Male Beneficiaries | 1551 |
| Number Of Non Hispanic White Beneficiaries | 3114 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 345 |
| Number Of Hispanic Beneficiaries | 156 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 93 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3087 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 651 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7314 |