| National Provider Identifier [NPI]: | 1720063100 |
| Last Name Of The Provider | CHIANG |
| First Name Of The Provider | MIKE |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3294 NORTH OAK STREET EXT. |
| Street Address 2 Of The Provider | |
| City Of The Provider | VALDOSTA |
| Zip Code Of The Provider | 31605 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 141 |
| Number Of Services | 23224 |
| Number Of Medicare Beneficiaries | 2236 |
| Total Submitted Charge Amount | 3644203.05 |
| Total Medicare Allowed Amount | 1131359.05 |
| Total Medicare Payment Amount | 880567.63 |
| Total Medicare Standardized Payment Amount | 920956.61 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 2958 |
| Number Of Medicare Beneficiaries With Drug Services | 52 |
| Total Drug Submitted ChargeAmount | 389264.6 |
| Total Drug Medicare AllowedAmount | 136084.76 |
| Total Drug Medicare PaymentAmount | 106611.31 |
| Total Drug Medicare Standardized Payment Amount | 106611.31 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 136 |
| Number Of Medical Services | 20266 |
| Number Of Medicare Beneficiaries With Medical Services | 2236 |
| Total Medical Submitted Charge Amount | 3254938.45 |
| Total Medical Medicare Allowed Amount | 995274.29 |
| Total Medical Medicare Payment Amount | 773956.32 |
| Total Medical Medicare Standardized Payment Amount | 814345.3 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 230 |
| Number Of Beneficiaries Age 65 to 74 | 1029 |
| Number Of Beneficiaries Age 75 to 84 | 741 |
| Number Of Beneficiaries Age Greater 84 | 236 |
| Number Of Female Beneficiaries | 576 |
| Number Of Male Beneficiaries | 1660 |
| Number Of Non Hispanic White Beneficiaries | 1791 |
| Number Of Black or African American Beneficiaries | 398 |
| Number Of AsianPacific Islander Beneficiaries | 14 |
| Number Of Hispanic Beneficiaries | 19 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1978 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 258 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 22 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 35 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.1254 |