National Provider Identifier [NPI]: |
1043244437 |
Last Name Of The Provider |
TING |
First Name Of The Provider |
TUOW |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D.,PH.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
122 LA CASA VIA |
Street Address 2 Of The Provider |
SUITE#223 |
City Of The Provider |
WALNUT CREEK |
Zip Code Of The Provider |
945983014 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
6320 |
Number Of Medicare Beneficiaries |
645 |
Total Submitted Charge Amount |
4217683.61 |
Total Medicare Allowed Amount |
1636616.99 |
Total Medicare Payment Amount |
1252108.06 |
Total Medicare Standardized Payment Amount |
1213143.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2128 |
Number Of Medicare Beneficiaries With Drug Services |
175 |
Total Drug Submitted ChargeAmount |
2959753.37 |
Total Drug Medicare AllowedAmount |
1186262.67 |
Total Drug Medicare PaymentAmount |
919901.7 |
Total Drug Medicare Standardized Payment Amount |
919901.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
4192 |
Number Of Medicare Beneficiaries With Medical Services |
645 |
Total Medical Submitted Charge Amount |
1257930.24 |
Total Medical Medicare Allowed Amount |
450354.32 |
Total Medical Medicare Payment Amount |
332206.36 |
Total Medical Medicare Standardized Payment Amount |
293242.26 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
204 |
Number Of Beneficiaries Age 75 to 84 |
219 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
385 |
Number Of Male Beneficiaries |
260 |
Number Of Non Hispanic White Beneficiaries |
314 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
201 |
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
389 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
256 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6975 |