National Provider Identifier [NPI]: |
1285694349 |
Last Name Of The Provider |
DU |
First Name Of The Provider |
PINGFENG |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
345 SAXONY RD |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
ENCINITAS |
Zip Code Of The Provider |
920242787 |
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 |
44 |
Number Of Services |
3795 |
Number Of Medicare Beneficiaries |
906 |
Total Submitted Charge Amount |
975369.4 |
Total Medicare Allowed Amount |
496870.07 |
Total Medicare Payment Amount |
374985.34 |
Total Medicare Standardized Payment Amount |
358590.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
238 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
23331.1 |
Total Drug Medicare AllowedAmount |
12582.59 |
Total Drug Medicare PaymentAmount |
9699.26 |
Total Drug Medicare Standardized Payment Amount |
9699.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
3557 |
Number Of Medicare Beneficiaries With Medical Services |
906 |
Total Medical Submitted Charge Amount |
952038.3 |
Total Medical Medicare Allowed Amount |
484287.48 |
Total Medical Medicare Payment Amount |
365286.08 |
Total Medical Medicare Standardized Payment Amount |
348891.22 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
319 |
Number Of Beneficiaries Age 75 to 84 |
314 |
Number Of Beneficiaries Age Greater 84 |
231 |
Number Of Female Beneficiaries |
492 |
Number Of Male Beneficiaries |
414 |
Number Of Non Hispanic White Beneficiaries |
781 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
49 |
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
815 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
91 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5569 |