National Provider Identifier [NPI]: |
1174590541 |
Last Name Of The Provider |
CHO |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1650 LILIHA ST |
Street Address 2 Of The Provider |
#105 |
City Of The Provider |
HONOLULU |
Zip Code Of The Provider |
968173169 |
State Code Of The Provider |
HI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
131 |
Number Of Services |
87876 |
Number Of Medicare Beneficiaries |
587 |
Total Submitted Charge Amount |
2179078.87 |
Total Medicare Allowed Amount |
1394447.23 |
Total Medicare Payment Amount |
1075419.36 |
Total Medicare Standardized Payment Amount |
1057522.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
70 |
Number Of Drug Services |
76655 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
1467295.68 |
Total Drug Medicare AllowedAmount |
948671.34 |
Total Drug Medicare PaymentAmount |
737875.33 |
Total Drug Medicare Standardized Payment Amount |
737875.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
11221 |
Number Of Medicare Beneficiaries With Medical Services |
585 |
Total Medical Submitted Charge Amount |
711783.19 |
Total Medical Medicare Allowed Amount |
445775.89 |
Total Medical Medicare Payment Amount |
337544.03 |
Total Medical Medicare Standardized Payment Amount |
319647.22 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
266 |
Number Of Beneficiaries Age 75 to 84 |
204 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
389 |
Number Of Male Beneficiaries |
198 |
Number Of Non Hispanic White Beneficiaries |
178 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
312 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
76 |
Number Of Beneficiaries With Medicare Only Entitlement |
555 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
62 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
7 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.594 |