National Provider Identifier [NPI]: |
1952356933 |
Last Name Of The Provider |
KONG |
First Name Of The Provider |
LYNN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1700 N ROSE AVE |
Street Address 2 Of The Provider |
SUITE 320 |
City Of The Provider |
OXNARD |
Zip Code Of The Provider |
930303790 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
142 |
Number Of Services |
215154 |
Number Of Medicare Beneficiaries |
659 |
Total Submitted Charge Amount |
5527927.72 |
Total Medicare Allowed Amount |
2499041.48 |
Total Medicare Payment Amount |
1951270.48 |
Total Medicare Standardized Payment Amount |
1894706.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
73 |
Number Of Drug Services |
194380 |
Number Of Medicare Beneficiaries With Drug Services |
161 |
Total Drug Submitted ChargeAmount |
4477828.22 |
Total Drug Medicare AllowedAmount |
1888148.87 |
Total Drug Medicare PaymentAmount |
1472180.74 |
Total Drug Medicare Standardized Payment Amount |
1472180.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
20774 |
Number Of Medicare Beneficiaries With Medical Services |
659 |
Total Medical Submitted Charge Amount |
1050099.5 |
Total Medical Medicare Allowed Amount |
610892.61 |
Total Medical Medicare Payment Amount |
479089.74 |
Total Medical Medicare Standardized Payment Amount |
422525.54 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
265 |
Number Of Beneficiaries Age 75 to 84 |
251 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
416 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
532 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
88 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
585 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
50 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8234 |