National Provider Identifier [NPI]: |
1669425062 |
Last Name Of The Provider |
WONG |
First Name Of The Provider |
RODNEY |
Middle Initial Of The Provider |
Z |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
515 SOUTH DR |
Street Address 2 Of The Provider |
#16 |
City Of The Provider |
MOUNTAIN VIEW |
Zip Code Of The Provider |
940404209 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
6926 |
Number Of Medicare Beneficiaries |
337 |
Total Submitted Charge Amount |
493210.57 |
Total Medicare Allowed Amount |
388295.35 |
Total Medicare Payment Amount |
299835.87 |
Total Medicare Standardized Payment Amount |
269208.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3648 |
Number Of Medicare Beneficiaries With Drug Services |
154 |
Total Drug Submitted ChargeAmount |
61537.2 |
Total Drug Medicare AllowedAmount |
30976.31 |
Total Drug Medicare PaymentAmount |
24250.69 |
Total Drug Medicare Standardized Payment Amount |
24250.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
3278 |
Number Of Medicare Beneficiaries With Medical Services |
337 |
Total Medical Submitted Charge Amount |
431673.37 |
Total Medical Medicare Allowed Amount |
357319.04 |
Total Medical Medicare Payment Amount |
275585.18 |
Total Medical Medicare Standardized Payment Amount |
244957.65 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
223 |
Number Of Male Beneficiaries |
114 |
Number Of Non Hispanic White Beneficiaries |
180 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
92 |
Number Of Hispanic Beneficiaries |
53 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
223 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2995 |