National Provider Identifier [NPI]: |
1245224757 |
Last Name Of The Provider |
CHONG |
First Name Of The Provider |
YUN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
337 E CORONADO RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850041580 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
2937 |
Number Of Medicare Beneficiaries |
602 |
Total Submitted Charge Amount |
634299 |
Total Medicare Allowed Amount |
316946.79 |
Total Medicare Payment Amount |
238844.2 |
Total Medicare Standardized Payment Amount |
247070.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
297 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
6831 |
Total Drug Medicare AllowedAmount |
3421.3 |
Total Drug Medicare PaymentAmount |
2626.58 |
Total Drug Medicare Standardized Payment Amount |
2626.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
2640 |
Number Of Medicare Beneficiaries With Medical Services |
602 |
Total Medical Submitted Charge Amount |
627468 |
Total Medical Medicare Allowed Amount |
313525.49 |
Total Medical Medicare Payment Amount |
236217.62 |
Total Medical Medicare Standardized Payment Amount |
244443.97 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
207 |
Number Of Beneficiaries Age 65 to 74 |
221 |
Number Of Beneficiaries Age 75 to 84 |
129 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
271 |
Number Of Male Beneficiaries |
331 |
Number Of Non Hispanic White Beneficiaries |
309 |
Number Of Black or African American Beneficiaries |
72 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
126 |
Number Of American Indian Alaska Native Beneficiaries |
72 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
394 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
208 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
4.2497 |