National Provider Identifier [NPI]: |
1376553891 |
Last Name Of The Provider |
HU |
First Name Of The Provider |
BOB |
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 |
795 EL CAMINO REAL |
Street Address 2 Of The Provider |
|
City Of The Provider |
PALO ALTO |
Zip Code Of The Provider |
943012302 |
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 |
42 |
Number Of Services |
1770 |
Number Of Medicare Beneficiaries |
1274 |
Total Submitted Charge Amount |
721158 |
Total Medicare Allowed Amount |
267885.15 |
Total Medicare Payment Amount |
204548.17 |
Total Medicare Standardized Payment Amount |
168140.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
13 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
265 |
Total Drug Medicare AllowedAmount |
142.36 |
Total Drug Medicare PaymentAmount |
128.23 |
Total Drug Medicare Standardized Payment Amount |
128.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1757 |
Number Of Medicare Beneficiaries With Medical Services |
1274 |
Total Medical Submitted Charge Amount |
720893 |
Total Medical Medicare Allowed Amount |
267742.79 |
Total Medical Medicare Payment Amount |
204419.94 |
Total Medical Medicare Standardized Payment Amount |
168012.45 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
561 |
Number Of Beneficiaries Age 75 to 84 |
445 |
Number Of Beneficiaries Age Greater 84 |
222 |
Number Of Female Beneficiaries |
646 |
Number Of Male Beneficiaries |
628 |
Number Of Non Hispanic White Beneficiaries |
901 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
235 |
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
46 |
Number Of Beneficiaries With Medicare Only Entitlement |
1109 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
165 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.099 |