National Provider Identifier [NPI]: |
1598730590 |
Last Name Of The Provider |
CHIONG |
First Name Of The Provider |
JUN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D., M.P.H. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
414 TENNESSEE ST |
Street Address 2 Of The Provider |
SUITE F |
City Of The Provider |
REDLANDS |
Zip Code Of The Provider |
923738163 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
11335 |
Number Of Medicare Beneficiaries |
1378 |
Total Submitted Charge Amount |
1466451 |
Total Medicare Allowed Amount |
1326627.26 |
Total Medicare Payment Amount |
1042951.21 |
Total Medicare Standardized Payment Amount |
1017068.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
383 |
Number Of Medicare Beneficiaries With Drug Services |
379 |
Total Drug Submitted ChargeAmount |
19150 |
Total Drug Medicare AllowedAmount |
8297.59 |
Total Drug Medicare PaymentAmount |
8111.7 |
Total Drug Medicare Standardized Payment Amount |
8111.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
10952 |
Number Of Medicare Beneficiaries With Medical Services |
1378 |
Total Medical Submitted Charge Amount |
1447301 |
Total Medical Medicare Allowed Amount |
1318329.67 |
Total Medical Medicare Payment Amount |
1034839.51 |
Total Medical Medicare Standardized Payment Amount |
1008956.84 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
299 |
Number Of Beneficiaries Age 65 to 74 |
353 |
Number Of Beneficiaries Age 75 to 84 |
384 |
Number Of Beneficiaries Age Greater 84 |
342 |
Number Of Female Beneficiaries |
733 |
Number Of Male Beneficiaries |
645 |
Number Of Non Hispanic White Beneficiaries |
872 |
Number Of Black or African American Beneficiaries |
153 |
Number Of AsianPacific Islander Beneficiaries |
81 |
Number Of Hispanic Beneficiaries |
245 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
466 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
912 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
49 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
68 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
27 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.4738 |