National Provider Identifier [NPI]: |
1831204486 |
Last Name Of The Provider |
CHUNG |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
728 PACIFIC AVE |
Street Address 2 Of The Provider |
SUITE 507 |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941334457 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
2114 |
Number Of Medicare Beneficiaries |
461 |
Total Submitted Charge Amount |
286841 |
Total Medicare Allowed Amount |
175720.82 |
Total Medicare Payment Amount |
125147.62 |
Total Medicare Standardized Payment Amount |
103537.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
165 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
11310 |
Total Drug Medicare AllowedAmount |
5331.52 |
Total Drug Medicare PaymentAmount |
5224.46 |
Total Drug Medicare Standardized Payment Amount |
5224.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
1949 |
Number Of Medicare Beneficiaries With Medical Services |
461 |
Total Medical Submitted Charge Amount |
275531 |
Total Medical Medicare Allowed Amount |
170389.3 |
Total Medical Medicare Payment Amount |
119923.16 |
Total Medical Medicare Standardized Payment Amount |
98312.85 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
113 |
Number Of Beneficiaries Age 75 to 84 |
197 |
Number Of Beneficiaries Age Greater 84 |
140 |
Number Of Female Beneficiaries |
280 |
Number Of Male Beneficiaries |
181 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
446 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
29 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
432 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2581 |