National Provider Identifier [NPI]: |
1295819654 |
Last Name Of The Provider |
HUANG |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4355 FURMAN AVE |
Street Address 2 Of The Provider |
2ND FLOOR |
City Of The Provider |
BRONX |
Zip Code Of The Provider |
104661601 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
1023 |
Number Of Medicare Beneficiaries |
153 |
Total Submitted Charge Amount |
82135 |
Total Medicare Allowed Amount |
65512 |
Total Medicare Payment Amount |
44768.98 |
Total Medicare Standardized Payment Amount |
39478.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
89 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
3755 |
Total Drug Medicare AllowedAmount |
1776.71 |
Total Drug Medicare PaymentAmount |
1738.6 |
Total Drug Medicare Standardized Payment Amount |
1738.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
934 |
Number Of Medicare Beneficiaries With Medical Services |
153 |
Total Medical Submitted Charge Amount |
78380 |
Total Medical Medicare Allowed Amount |
63735.29 |
Total Medical Medicare Payment Amount |
43030.38 |
Total Medical Medicare Standardized Payment Amount |
37739.96 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
78 |
Number Of Beneficiaries Age 75 to 84 |
35 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
100 |
Number Of Male Beneficiaries |
53 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
70 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
87 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
27 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8379 |