National Provider Identifier [NPI]: |
1326077736 |
Last Name Of The Provider |
FUNG |
First Name Of The Provider |
YING |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2125 OAK GROVE RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
WALNUT CREEK |
Zip Code Of The Provider |
945982536 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
141 |
Number Of Services |
5669 |
Number Of Medicare Beneficiaries |
1955 |
Total Submitted Charge Amount |
544229 |
Total Medicare Allowed Amount |
120520.6 |
Total Medicare Payment Amount |
97478.11 |
Total Medicare Standardized Payment Amount |
87141.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2572 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
5021 |
Total Drug Medicare AllowedAmount |
1247.81 |
Total Drug Medicare PaymentAmount |
978.32 |
Total Drug Medicare Standardized Payment Amount |
978.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
137 |
Number Of Medical Services |
3097 |
Number Of Medicare Beneficiaries With Medical Services |
1955 |
Total Medical Submitted Charge Amount |
539208 |
Total Medical Medicare Allowed Amount |
119272.79 |
Total Medical Medicare Payment Amount |
96499.79 |
Total Medical Medicare Standardized Payment Amount |
86163.65 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
276 |
Number Of Beneficiaries Age 65 to 74 |
906 |
Number Of Beneficiaries Age 75 to 84 |
493 |
Number Of Beneficiaries Age Greater 84 |
280 |
Number Of Female Beneficiaries |
1442 |
Number Of Male Beneficiaries |
513 |
Number Of Non Hispanic White Beneficiaries |
1055 |
Number Of Black or African American Beneficiaries |
482 |
Number Of AsianPacific Islander Beneficiaries |
222 |
Number Of Hispanic Beneficiaries |
120 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1334 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
621 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4303 |