National Provider Identifier [NPI]: |
1609997808 |
Last Name Of The Provider |
HUANG |
First Name Of The Provider |
JOCELIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6545 FRANCE AVE S |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
EDINA |
Zip Code Of The Provider |
554352281 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
136 |
Number Of Services |
87934 |
Number Of Medicare Beneficiaries |
333 |
Total Submitted Charge Amount |
3975303 |
Total Medicare Allowed Amount |
1043386.87 |
Total Medicare Payment Amount |
807378.6 |
Total Medicare Standardized Payment Amount |
806148.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
65 |
Number Of Drug Services |
85018 |
Number Of Medicare Beneficiaries With Drug Services |
170 |
Total Drug Submitted ChargeAmount |
3380215 |
Total Drug Medicare AllowedAmount |
900302.92 |
Total Drug Medicare PaymentAmount |
696079.82 |
Total Drug Medicare Standardized Payment Amount |
696079.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
2916 |
Number Of Medicare Beneficiaries With Medical Services |
333 |
Total Medical Submitted Charge Amount |
595088 |
Total Medical Medicare Allowed Amount |
143083.95 |
Total Medical Medicare Payment Amount |
111298.78 |
Total Medical Medicare Standardized Payment Amount |
110068.77 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
114 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
218 |
Number Of Male Beneficiaries |
115 |
Number Of Non Hispanic White Beneficiaries |
316 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
297 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.3153 |