National Provider Identifier [NPI]: |
1639192404 |
Last Name Of The Provider |
HUNG |
First Name Of The Provider |
SAMMY |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
27001 CALAROGA AVE |
Street Address 2 Of The Provider |
STE 2 |
City Of The Provider |
HAYWARD |
Zip Code Of The Provider |
945454345 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
8019 |
Number Of Medicare Beneficiaries |
455 |
Total Submitted Charge Amount |
385718 |
Total Medicare Allowed Amount |
302299.71 |
Total Medicare Payment Amount |
235316.84 |
Total Medicare Standardized Payment Amount |
214087.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
4486 |
Number Of Medicare Beneficiaries With Drug Services |
126 |
Total Drug Submitted ChargeAmount |
8950 |
Total Drug Medicare AllowedAmount |
1885.4 |
Total Drug Medicare PaymentAmount |
1707.94 |
Total Drug Medicare Standardized Payment Amount |
1707.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
3533 |
Number Of Medicare Beneficiaries With Medical Services |
455 |
Total Medical Submitted Charge Amount |
376768 |
Total Medical Medicare Allowed Amount |
300414.31 |
Total Medical Medicare Payment Amount |
233608.9 |
Total Medical Medicare Standardized Payment Amount |
212380 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
149 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
275 |
Number Of Male Beneficiaries |
180 |
Number Of Non Hispanic White Beneficiaries |
178 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
136 |
Number Of Hispanic Beneficiaries |
73 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
173 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
282 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
46 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
61 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.4149 |