National Provider Identifier [NPI]: |
1154325702 |
Last Name Of The Provider |
CHOO |
First Name Of The Provider |
DANIEL |
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 |
17134 COLIMA RD |
Street Address 2 Of The Provider |
STE #E |
City Of The Provider |
HACIENDA HEIGHTS |
Zip Code Of The Provider |
917456737 |
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 |
4927 |
Number Of Medicare Beneficiaries |
635 |
Total Submitted Charge Amount |
728320 |
Total Medicare Allowed Amount |
406594.05 |
Total Medicare Payment Amount |
314626.68 |
Total Medicare Standardized Payment Amount |
287390.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1444 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
18910 |
Total Drug Medicare AllowedAmount |
4863.13 |
Total Drug Medicare PaymentAmount |
4013.36 |
Total Drug Medicare Standardized Payment Amount |
4013.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3483 |
Number Of Medicare Beneficiaries With Medical Services |
635 |
Total Medical Submitted Charge Amount |
709410 |
Total Medical Medicare Allowed Amount |
401730.92 |
Total Medical Medicare Payment Amount |
310613.32 |
Total Medical Medicare Standardized Payment Amount |
283376.66 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
220 |
Number Of Beneficiaries Age 75 to 84 |
268 |
Number Of Beneficiaries Age Greater 84 |
126 |
Number Of Female Beneficiaries |
360 |
Number Of Male Beneficiaries |
275 |
Number Of Non Hispanic White Beneficiaries |
35 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
543 |
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
144 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
491 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4748 |