National Provider Identifier [NPI]: |
1144204371 |
Last Name Of The Provider |
HUANG |
First Name Of The Provider |
ABBOTT |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3301 NEW MEXICO AVE NW |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200163622 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
130 |
Number Of Services |
9059 |
Number Of Medicare Beneficiaries |
1704 |
Total Submitted Charge Amount |
2293027.44 |
Total Medicare Allowed Amount |
574069 |
Total Medicare Payment Amount |
440322.55 |
Total Medicare Standardized Payment Amount |
409295.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
6453 |
Number Of Medicare Beneficiaries With Drug Services |
188 |
Total Drug Submitted ChargeAmount |
11048 |
Total Drug Medicare AllowedAmount |
4858.48 |
Total Drug Medicare PaymentAmount |
3681.09 |
Total Drug Medicare Standardized Payment Amount |
3681.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
127 |
Number Of Medical Services |
2606 |
Number Of Medicare Beneficiaries With Medical Services |
1703 |
Total Medical Submitted Charge Amount |
2281979.44 |
Total Medical Medicare Allowed Amount |
569210.52 |
Total Medical Medicare Payment Amount |
436641.46 |
Total Medical Medicare Standardized Payment Amount |
405614.18 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
233 |
Number Of Beneficiaries Age 65 to 74 |
725 |
Number Of Beneficiaries Age 75 to 84 |
560 |
Number Of Beneficiaries Age Greater 84 |
186 |
Number Of Female Beneficiaries |
1043 |
Number Of Male Beneficiaries |
661 |
Number Of Non Hispanic White Beneficiaries |
1323 |
Number Of Black or African American Beneficiaries |
220 |
Number Of AsianPacific Islander Beneficiaries |
60 |
Number Of Hispanic Beneficiaries |
53 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
48 |
Number Of Beneficiaries With Medicare Only Entitlement |
1320 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
384 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.1508 |