National Provider Identifier [NPI]: |
1235131061 |
Last Name Of The Provider |
SUN |
First Name Of The Provider |
KARL |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8851 CENTER DR |
Street Address 2 Of The Provider |
STE 401 |
City Of The Provider |
LA MESA |
Zip Code Of The Provider |
919423017 |
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 |
61 |
Number Of Services |
4229 |
Number Of Medicare Beneficiaries |
927 |
Total Submitted Charge Amount |
512793.82 |
Total Medicare Allowed Amount |
422642.5 |
Total Medicare Payment Amount |
317126.65 |
Total Medicare Standardized Payment Amount |
305974.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
713 |
Number Of Medicare Beneficiaries With Drug Services |
148 |
Total Drug Submitted ChargeAmount |
56220 |
Total Drug Medicare AllowedAmount |
29023.59 |
Total Drug Medicare PaymentAmount |
22670.11 |
Total Drug Medicare Standardized Payment Amount |
22670.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
3516 |
Number Of Medicare Beneficiaries With Medical Services |
927 |
Total Medical Submitted Charge Amount |
456573.82 |
Total Medical Medicare Allowed Amount |
393618.91 |
Total Medical Medicare Payment Amount |
294456.54 |
Total Medical Medicare Standardized Payment Amount |
283304.7 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
303 |
Number Of Beneficiaries Age 75 to 84 |
316 |
Number Of Beneficiaries Age Greater 84 |
172 |
Number Of Female Beneficiaries |
495 |
Number Of Male Beneficiaries |
432 |
Number Of Non Hispanic White Beneficiaries |
604 |
Number Of Black or African American Beneficiaries |
65 |
Number Of AsianPacific Islander Beneficiaries |
115 |
Number Of Hispanic Beneficiaries |
118 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
472 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
455 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.2836 |