National Provider Identifier [NPI]: |
1003811225 |
Last Name Of The Provider |
DAO |
First Name Of The Provider |
TUNG |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6410 ROCKLEDGE DR |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
BETHESDA |
Zip Code Of The Provider |
208171830 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
3004 |
Number Of Medicare Beneficiaries |
1247 |
Total Submitted Charge Amount |
595052 |
Total Medicare Allowed Amount |
256157.36 |
Total Medicare Payment Amount |
190415.03 |
Total Medicare Standardized Payment Amount |
171846.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
109 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
13070 |
Total Drug Medicare AllowedAmount |
5719.83 |
Total Drug Medicare PaymentAmount |
4340.78 |
Total Drug Medicare Standardized Payment Amount |
4340.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
2895 |
Number Of Medicare Beneficiaries With Medical Services |
1247 |
Total Medical Submitted Charge Amount |
581982 |
Total Medical Medicare Allowed Amount |
250437.53 |
Total Medical Medicare Payment Amount |
186074.25 |
Total Medical Medicare Standardized Payment Amount |
167506.02 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
380 |
Number Of Beneficiaries Age 75 to 84 |
518 |
Number Of Beneficiaries Age Greater 84 |
313 |
Number Of Female Beneficiaries |
666 |
Number Of Male Beneficiaries |
581 |
Number Of Non Hispanic White Beneficiaries |
1030 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
86 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
1127 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
120 |
Percent Of With Atrial Fibrillation |
42 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4097 |