National Provider Identifier [NPI]: |
1104843887 |
Last Name Of The Provider |
HWANG |
First Name Of The Provider |
WAYNE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2121 MEDICAL PARK DRIVE |
Street Address 2 Of The Provider |
SUITE 3 |
City Of The Provider |
SILVER SPRING |
Zip Code Of The Provider |
20902 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
238 |
Number Of Services |
13041 |
Number Of Medicare Beneficiaries |
3443 |
Total Submitted Charge Amount |
1455006.41 |
Total Medicare Allowed Amount |
448537.39 |
Total Medicare Payment Amount |
351623.23 |
Total Medicare Standardized Payment Amount |
312925.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
7023 |
Number Of Medicare Beneficiaries With Drug Services |
109 |
Total Drug Submitted ChargeAmount |
9378.66 |
Total Drug Medicare AllowedAmount |
2401.15 |
Total Drug Medicare PaymentAmount |
1661.27 |
Total Drug Medicare Standardized Payment Amount |
1661.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
236 |
Number Of Medical Services |
6018 |
Number Of Medicare Beneficiaries With Medical Services |
3442 |
Total Medical Submitted Charge Amount |
1445627.75 |
Total Medical Medicare Allowed Amount |
446136.24 |
Total Medical Medicare Payment Amount |
349961.96 |
Total Medical Medicare Standardized Payment Amount |
311264.48 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
358 |
Number Of Beneficiaries Age 65 to 74 |
1156 |
Number Of Beneficiaries Age 75 to 84 |
1096 |
Number Of Beneficiaries Age Greater 84 |
833 |
Number Of Female Beneficiaries |
2238 |
Number Of Male Beneficiaries |
1205 |
Number Of Non Hispanic White Beneficiaries |
1882 |
Number Of Black or African American Beneficiaries |
1067 |
Number Of AsianPacific Islander Beneficiaries |
206 |
Number Of Hispanic Beneficiaries |
212 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2738 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
705 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.7138 |