National Provider Identifier [NPI]: |
1407842149 |
Last Name Of The Provider |
ONG |
First Name Of The Provider |
HUNG |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
495 OLD NEWPORT BLVD |
Street Address 2 Of The Provider |
# 200 |
City Of The Provider |
NEWPORT BEACH |
Zip Code Of The Provider |
926634210 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
9875 |
Number Of Medicare Beneficiaries |
680 |
Total Submitted Charge Amount |
1982194 |
Total Medicare Allowed Amount |
954169.82 |
Total Medicare Payment Amount |
733297.52 |
Total Medicare Standardized Payment Amount |
593534.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
156 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
26559 |
Total Drug Medicare AllowedAmount |
14012.85 |
Total Drug Medicare PaymentAmount |
10691.88 |
Total Drug Medicare Standardized Payment Amount |
10691.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
9719 |
Number Of Medicare Beneficiaries With Medical Services |
680 |
Total Medical Submitted Charge Amount |
1955635 |
Total Medical Medicare Allowed Amount |
940156.97 |
Total Medical Medicare Payment Amount |
722605.64 |
Total Medical Medicare Standardized Payment Amount |
582842.51 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
338 |
Number Of Beneficiaries Age 75 to 84 |
230 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
363 |
Number Of Male Beneficiaries |
317 |
Number Of Non Hispanic White Beneficiaries |
626 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
645 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0457 |