National Provider Identifier [NPI]: |
1427165992 |
Last Name Of The Provider |
CHUNG |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3434 SWISS AVE STE 330 |
Street Address 2 Of The Provider |
|
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752046298 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
174 |
Number Of Services |
12340 |
Number Of Medicare Beneficiaries |
432 |
Total Submitted Charge Amount |
920904.43 |
Total Medicare Allowed Amount |
396026.87 |
Total Medicare Payment Amount |
310233.94 |
Total Medicare Standardized Payment Amount |
312036.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
3413 |
Number Of Medicare Beneficiaries With Drug Services |
228 |
Total Drug Submitted ChargeAmount |
79423.86 |
Total Drug Medicare AllowedAmount |
20930.95 |
Total Drug Medicare PaymentAmount |
16999.83 |
Total Drug Medicare Standardized Payment Amount |
16999.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
159 |
Number Of Medical Services |
8927 |
Number Of Medicare Beneficiaries With Medical Services |
432 |
Total Medical Submitted Charge Amount |
841480.57 |
Total Medical Medicare Allowed Amount |
375095.92 |
Total Medical Medicare Payment Amount |
293234.11 |
Total Medical Medicare Standardized Payment Amount |
295037.16 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
217 |
Number Of Male Beneficiaries |
215 |
Number Of Non Hispanic White Beneficiaries |
249 |
Number Of Black or African American Beneficiaries |
133 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
322 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
110 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.323 |