National Provider Identifier [NPI]: |
1871533513 |
Last Name Of The Provider |
CHOO |
First Name Of The Provider |
IRIS |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
ONE HOAG DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEWPORT BEACH |
Zip Code Of The Provider |
926634162 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
140 |
Number Of Services |
9779 |
Number Of Medicare Beneficiaries |
2506 |
Total Submitted Charge Amount |
836592 |
Total Medicare Allowed Amount |
226780.56 |
Total Medicare Payment Amount |
167496.01 |
Total Medicare Standardized Payment Amount |
150660.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
6160 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
12500 |
Total Drug Medicare AllowedAmount |
1191.1 |
Total Drug Medicare PaymentAmount |
933.85 |
Total Drug Medicare Standardized Payment Amount |
933.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
138 |
Number Of Medical Services |
3619 |
Number Of Medicare Beneficiaries With Medical Services |
2506 |
Total Medical Submitted Charge Amount |
824092 |
Total Medical Medicare Allowed Amount |
225589.46 |
Total Medical Medicare Payment Amount |
166562.16 |
Total Medical Medicare Standardized Payment Amount |
149726.56 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
1131 |
Number Of Beneficiaries Age 75 to 84 |
858 |
Number Of Beneficiaries Age Greater 84 |
403 |
Number Of Female Beneficiaries |
1478 |
Number Of Male Beneficiaries |
1028 |
Number Of Non Hispanic White Beneficiaries |
2146 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
180 |
Number Of Hispanic Beneficiaries |
90 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
70 |
Number Of Beneficiaries With Medicare Only Entitlement |
2297 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2847 |