National Provider Identifier [NPI]: |
1306097209 |
Last Name Of The Provider |
SUN |
First Name Of The Provider |
JUN |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8926 WOODYARD RD STE 201 |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLINTON |
Zip Code Of The Provider |
207354231 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
162052 |
Number Of Medicare Beneficiaries |
1130 |
Total Submitted Charge Amount |
6761848 |
Total Medicare Allowed Amount |
2001848.03 |
Total Medicare Payment Amount |
1568536.99 |
Total Medicare Standardized Payment Amount |
1536108.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
74 |
Number Of Drug Services |
150616 |
Number Of Medicare Beneficiaries With Drug Services |
471 |
Total Drug Submitted ChargeAmount |
5575628 |
Total Drug Medicare AllowedAmount |
1620808.05 |
Total Drug Medicare PaymentAmount |
1269685.3 |
Total Drug Medicare Standardized Payment Amount |
1269685.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
11436 |
Number Of Medicare Beneficiaries With Medical Services |
1129 |
Total Medical Submitted Charge Amount |
1186220 |
Total Medical Medicare Allowed Amount |
381039.98 |
Total Medical Medicare Payment Amount |
298851.69 |
Total Medical Medicare Standardized Payment Amount |
266422.76 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
489 |
Number Of Beneficiaries Age 75 to 84 |
389 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
728 |
Number Of Male Beneficiaries |
402 |
Number Of Non Hispanic White Beneficiaries |
377 |
Number Of Black or African American Beneficiaries |
720 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
951 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
179 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.8957 |