National Provider Identifier [NPI]: |
1013917046 |
Last Name Of The Provider |
CHOI |
First Name Of The Provider |
SUNG |
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 |
2340 CLAY ST |
Street Address 2 Of The Provider |
SUITE 525 |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941151932 |
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 |
68 |
Number Of Services |
3491 |
Number Of Medicare Beneficiaries |
667 |
Total Submitted Charge Amount |
535877.4 |
Total Medicare Allowed Amount |
220999.08 |
Total Medicare Payment Amount |
165354.87 |
Total Medicare Standardized Payment Amount |
140312.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1523 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
29593.4 |
Total Drug Medicare AllowedAmount |
6261.58 |
Total Drug Medicare PaymentAmount |
4735.9 |
Total Drug Medicare Standardized Payment Amount |
4735.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
1968 |
Number Of Medicare Beneficiaries With Medical Services |
667 |
Total Medical Submitted Charge Amount |
506284 |
Total Medical Medicare Allowed Amount |
214737.5 |
Total Medical Medicare Payment Amount |
160618.97 |
Total Medical Medicare Standardized Payment Amount |
135576.19 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
228 |
Number Of Beneficiaries Age 75 to 84 |
234 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
315 |
Number Of Male Beneficiaries |
352 |
Number Of Non Hispanic White Beneficiaries |
445 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
100 |
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
440 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
227 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8744 |