| National Provider Identifier [NPI]: | 1104807569 |
| Last Name Of The Provider | KWOK |
| First Name Of The Provider | KEITH |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1530 NORTH BESSIE AVENUE |
| Street Address 2 Of The Provider | SUITE 108 |
| City Of The Provider | TRACY |
| Zip Code Of The Provider | 95376 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 198 |
| Number Of Services | 8092 |
| Number Of Medicare Beneficiaries | 4367 |
| Total Submitted Charge Amount | 891489.83 |
| Total Medicare Allowed Amount | 259330.49 |
| Total Medicare Payment Amount | 187959.79 |
| Total Medicare Standardized Payment Amount | 170826.49 |
| 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 | 198 |
| Number Of Medical Services | 8092 |
| Number Of Medicare Beneficiaries With Medical Services | 4367 |
| Total Medical Submitted Charge Amount | 891489.83 |
| Total Medical Medicare Allowed Amount | 259330.49 |
| Total Medical Medicare Payment Amount | 187959.79 |
| Total Medical Medicare Standardized Payment Amount | 170826.49 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 667 |
| Number Of Beneficiaries Age 65 to 74 | 1390 |
| Number Of Beneficiaries Age 75 to 84 | 1381 |
| Number Of Beneficiaries Age Greater 84 | 929 |
| Number Of Female Beneficiaries | 2630 |
| Number Of Male Beneficiaries | 1737 |
| Number Of Non Hispanic White Beneficiaries | 1517 |
| Number Of Black or African American Beneficiaries | 171 |
| Number Of AsianPacific Islander Beneficiaries | 1369 |
| Number Of Hispanic Beneficiaries | 1219 |
| Number Of American Indian Alaska Native Beneficiaries | 22 |
| Number Of Beneficiaries With Race Not Else where Classified | 69 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1700 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2667 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 52 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.9381 |