| National Provider Identifier [NPI]: | 1023079365 |
| Last Name Of The Provider | SUNG |
| First Name Of The Provider | RAYMOND |
| Middle Initial Of The Provider | Y |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 488 E VALLEY PKWY |
| Street Address 2 Of The Provider | SUITE 100 |
| City Of The Provider | ESCONDIDO |
| Zip Code Of The Provider | 920253363 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 161 |
| Number Of Services | 24977.5 |
| Number Of Medicare Beneficiaries | 1800 |
| Total Submitted Charge Amount | 1837340.3 |
| Total Medicare Allowed Amount | 436319.1 |
| Total Medicare Payment Amount | 326039.42 |
| Total Medicare Standardized Payment Amount | 311375.24 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 22243.5 |
| Number Of Medicare Beneficiaries With Drug Services | 349 |
| Total Drug Submitted ChargeAmount | 27872.3 |
| Total Drug Medicare AllowedAmount | 8815.37 |
| Total Drug Medicare PaymentAmount | 6911.47 |
| Total Drug Medicare Standardized Payment Amount | 6911.47 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 153 |
| Number Of Medical Services | 2734 |
| Number Of Medicare Beneficiaries With Medical Services | 1797 |
| Total Medical Submitted Charge Amount | 1809468 |
| Total Medical Medicare Allowed Amount | 427503.73 |
| Total Medical Medicare Payment Amount | 319127.95 |
| Total Medical Medicare Standardized Payment Amount | 304463.77 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 187 |
| Number Of Beneficiaries Age 65 to 74 | 737 |
| Number Of Beneficiaries Age 75 to 84 | 603 |
| Number Of Beneficiaries Age Greater 84 | 273 |
| Number Of Female Beneficiaries | 1102 |
| Number Of Male Beneficiaries | 698 |
| Number Of Non Hispanic White Beneficiaries | 1352 |
| Number Of Black or African American Beneficiaries | 17 |
| Number Of AsianPacific Islander Beneficiaries | 162 |
| Number Of Hispanic Beneficiaries | 210 |
| Number Of American Indian Alaska Native Beneficiaries | 13 |
| Number Of Beneficiaries With Race Not Else where Classified | 46 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1353 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 447 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 64 |
| Percent Of With Ischemic Heart Disease | 27 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.1378 |