National Provider Identifier [NPI]: |
1992702203 |
Last Name Of The Provider |
TUNG |
First Name Of The Provider |
NAVTEJ |
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 |
14415 W MCDOWELL RD |
Street Address 2 Of The Provider |
SUITE D102 |
City Of The Provider |
GOODYEAR |
Zip Code Of The Provider |
853952521 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
3237 |
Number Of Medicare Beneficiaries |
317 |
Total Submitted Charge Amount |
1351628 |
Total Medicare Allowed Amount |
246608 |
Total Medicare Payment Amount |
181523.92 |
Total Medicare Standardized Payment Amount |
178552.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1405 |
Number Of Medicare Beneficiaries With Drug Services |
150 |
Total Drug Submitted ChargeAmount |
11959 |
Total Drug Medicare AllowedAmount |
1732.8 |
Total Drug Medicare PaymentAmount |
1305.7 |
Total Drug Medicare Standardized Payment Amount |
1305.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1832 |
Number Of Medicare Beneficiaries With Medical Services |
317 |
Total Medical Submitted Charge Amount |
1339669 |
Total Medical Medicare Allowed Amount |
244875.2 |
Total Medical Medicare Payment Amount |
180218.22 |
Total Medical Medicare Standardized Payment Amount |
177246.42 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
133 |
Number Of Beneficiaries Age 75 to 84 |
54 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
174 |
Number Of Male Beneficiaries |
143 |
Number Of Non Hispanic White Beneficiaries |
229 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
233 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.252 |