| National Provider Identifier [NPI]: | 1902852809 |
| Last Name Of The Provider | CHUNG |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | Y |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 100 E CARROLL ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | SALISBURY |
| Zip Code Of The Provider | 218015422 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 247 |
| Number Of Services | 18171 |
| Number Of Medicare Beneficiaries | 6022 |
| Total Submitted Charge Amount | 1488722.71 |
| Total Medicare Allowed Amount | 557035.85 |
| Total Medicare Payment Amount | 430707.56 |
| Total Medicare Standardized Payment Amount | 426269.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 7918 |
| Number Of Medicare Beneficiaries With Drug Services | 126 |
| Total Drug Submitted ChargeAmount | 3767.3 |
| Total Drug Medicare AllowedAmount | 2298.08 |
| Total Drug Medicare PaymentAmount | 1784.05 |
| Total Drug Medicare Standardized Payment Amount | 1784.05 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 245 |
| Number Of Medical Services | 10253 |
| Number Of Medicare Beneficiaries With Medical Services | 6022 |
| Total Medical Submitted Charge Amount | 1484955.41 |
| Total Medical Medicare Allowed Amount | 554737.77 |
| Total Medical Medicare Payment Amount | 428923.51 |
| Total Medical Medicare Standardized Payment Amount | 424485.91 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 917 |
| Number Of Beneficiaries Age 65 to 74 | 2424 |
| Number Of Beneficiaries Age 75 to 84 | 1838 |
| Number Of Beneficiaries Age Greater 84 | 843 |
| Number Of Female Beneficiaries | 3630 |
| Number Of Male Beneficiaries | 2392 |
| Number Of Non Hispanic White Beneficiaries | 4933 |
| Number Of Black or African American Beneficiaries | 954 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 59 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 48 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4632 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1390 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 50 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.6789 |