National Provider Identifier [NPI]: |
1649224999 |
Last Name Of The Provider |
JUNG |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1045 ATLANTIC AVE |
Street Address 2 Of The Provider |
SUITE 807 |
City Of The Provider |
LONG BEACH |
Zip Code Of The Provider |
908133408 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
1600 |
Number Of Medicare Beneficiaries |
413 |
Total Submitted Charge Amount |
137956 |
Total Medicare Allowed Amount |
96700.54 |
Total Medicare Payment Amount |
71964.02 |
Total Medicare Standardized Payment Amount |
67920.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
102 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
5528 |
Total Drug Medicare AllowedAmount |
3507.89 |
Total Drug Medicare PaymentAmount |
2750.19 |
Total Drug Medicare Standardized Payment Amount |
2750.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
1498 |
Number Of Medicare Beneficiaries With Medical Services |
413 |
Total Medical Submitted Charge Amount |
132428 |
Total Medical Medicare Allowed Amount |
93192.65 |
Total Medical Medicare Payment Amount |
69213.83 |
Total Medical Medicare Standardized Payment Amount |
65170.52 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
122 |
Number Of Beneficiaries Age 75 to 84 |
107 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
229 |
Number Of Male Beneficiaries |
184 |
Number Of Non Hispanic White Beneficiaries |
250 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
96 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
211 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
202 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.0986 |