National Provider Identifier [NPI]: |
1295758191 |
Last Name Of The Provider |
CHUNG |
First Name Of The Provider |
JUN |
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 |
5838 HARBOUR VIEW BLVD |
Street Address 2 Of The Provider |
SUITE 270 |
City Of The Provider |
SUFFOLK |
Zip Code Of The Provider |
234352663 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
3356 |
Number Of Medicare Beneficiaries |
1455 |
Total Submitted Charge Amount |
808770 |
Total Medicare Allowed Amount |
276209.43 |
Total Medicare Payment Amount |
207228.22 |
Total Medicare Standardized Payment Amount |
216026.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
3356 |
Number Of Medicare Beneficiaries With Medical Services |
1455 |
Total Medical Submitted Charge Amount |
808770 |
Total Medical Medicare Allowed Amount |
276209.43 |
Total Medical Medicare Payment Amount |
207228.22 |
Total Medical Medicare Standardized Payment Amount |
216026.68 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
169 |
Number Of Beneficiaries Age 65 to 74 |
559 |
Number Of Beneficiaries Age 75 to 84 |
476 |
Number Of Beneficiaries Age Greater 84 |
251 |
Number Of Female Beneficiaries |
745 |
Number Of Male Beneficiaries |
710 |
Number Of Non Hispanic White Beneficiaries |
948 |
Number Of Black or African American Beneficiaries |
472 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1262 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
193 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.7081 |