National Provider Identifier [NPI]: |
1396783585 |
Last Name Of The Provider |
DANG |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
25405 HANCOCK AVE |
Street Address 2 Of The Provider |
SUITE 216 |
City Of The Provider |
MURRIETA |
Zip Code Of The Provider |
925625982 |
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 |
85 |
Number Of Services |
10209 |
Number Of Medicare Beneficiaries |
797 |
Total Submitted Charge Amount |
2168925 |
Total Medicare Allowed Amount |
864397.12 |
Total Medicare Payment Amount |
653590.22 |
Total Medicare Standardized Payment Amount |
624978.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1073 |
Number Of Medicare Beneficiaries With Drug Services |
271 |
Total Drug Submitted ChargeAmount |
104070 |
Total Drug Medicare AllowedAmount |
41493.18 |
Total Drug Medicare PaymentAmount |
32184.36 |
Total Drug Medicare Standardized Payment Amount |
32184.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
9136 |
Number Of Medicare Beneficiaries With Medical Services |
797 |
Total Medical Submitted Charge Amount |
2064855 |
Total Medical Medicare Allowed Amount |
822903.94 |
Total Medical Medicare Payment Amount |
621405.86 |
Total Medical Medicare Standardized Payment Amount |
592793.97 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
301 |
Number Of Beneficiaries Age 75 to 84 |
309 |
Number Of Beneficiaries Age Greater 84 |
148 |
Number Of Female Beneficiaries |
411 |
Number Of Male Beneficiaries |
386 |
Number Of Non Hispanic White Beneficiaries |
645 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
56 |
Number Of Hispanic Beneficiaries |
53 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
715 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3921 |