National Provider Identifier [NPI]: |
1679588180 |
Last Name Of The Provider |
CHUGH |
First Name Of The Provider |
SUMEET |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
127, SAN VICENTE BLVD SOUTH |
Street Address 2 Of The Provider |
SUITE A3100 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900481860 |
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 |
27 |
Number Of Services |
7766 |
Number Of Medicare Beneficiaries |
4072 |
Total Submitted Charge Amount |
243631.5 |
Total Medicare Allowed Amount |
81853.53 |
Total Medicare Payment Amount |
59576.82 |
Total Medicare Standardized Payment Amount |
56018 |
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 |
27 |
Number Of Medical Services |
7766 |
Number Of Medicare Beneficiaries With Medical Services |
4072 |
Total Medical Submitted Charge Amount |
243631.5 |
Total Medical Medicare Allowed Amount |
81853.53 |
Total Medical Medicare Payment Amount |
59576.82 |
Total Medical Medicare Standardized Payment Amount |
56018 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
539 |
Number Of Beneficiaries Age 65 to 74 |
1319 |
Number Of Beneficiaries Age 75 to 84 |
1179 |
Number Of Beneficiaries Age Greater 84 |
1035 |
Number Of Female Beneficiaries |
1921 |
Number Of Male Beneficiaries |
2151 |
Number Of Non Hispanic White Beneficiaries |
2754 |
Number Of Black or African American Beneficiaries |
546 |
Number Of AsianPacific Islander Beneficiaries |
291 |
Number Of Hispanic Beneficiaries |
356 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2499 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1573 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
63 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.6377 |