National Provider Identifier [NPI]: |
1467511808 |
Last Name Of The Provider |
CHUN |
First Name Of The Provider |
KENNETH |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
43494 WOODWARD AVE |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
BLOOMFIELD HILLS |
Zip Code Of The Provider |
483025052 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
14863 |
Number Of Medicare Beneficiaries |
869 |
Total Submitted Charge Amount |
1016019 |
Total Medicare Allowed Amount |
609020.8 |
Total Medicare Payment Amount |
437804.14 |
Total Medicare Standardized Payment Amount |
418273.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
5521 |
Number Of Medicare Beneficiaries With Drug Services |
572 |
Total Drug Submitted ChargeAmount |
277885 |
Total Drug Medicare AllowedAmount |
39984.65 |
Total Drug Medicare PaymentAmount |
31295.36 |
Total Drug Medicare Standardized Payment Amount |
31295.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
9342 |
Number Of Medicare Beneficiaries With Medical Services |
869 |
Total Medical Submitted Charge Amount |
738134 |
Total Medical Medicare Allowed Amount |
569036.15 |
Total Medical Medicare Payment Amount |
406508.78 |
Total Medical Medicare Standardized Payment Amount |
386978.12 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
427 |
Number Of Beneficiaries Age 65 to 74 |
253 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
449 |
Number Of Male Beneficiaries |
420 |
Number Of Non Hispanic White Beneficiaries |
294 |
Number Of Black or African American Beneficiaries |
539 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
521 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
348 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4436 |