National Provider Identifier [NPI]: |
1861478422 |
Last Name Of The Provider |
KUO |
First Name Of The Provider |
SAMUEL |
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 |
1088 N CHERRY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TULARE |
Zip Code Of The Provider |
932742251 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
31578.2 |
Number Of Medicare Beneficiaries |
427 |
Total Submitted Charge Amount |
719155.8 |
Total Medicare Allowed Amount |
536861.77 |
Total Medicare Payment Amount |
413826.18 |
Total Medicare Standardized Payment Amount |
399530.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
32 |
Number Of Drug Services |
26873.2 |
Number Of Medicare Beneficiaries With Drug Services |
150 |
Total Drug Submitted ChargeAmount |
296355.8 |
Total Drug Medicare AllowedAmount |
206093.36 |
Total Drug Medicare PaymentAmount |
161436.3 |
Total Drug Medicare Standardized Payment Amount |
161436.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
4705 |
Number Of Medicare Beneficiaries With Medical Services |
427 |
Total Medical Submitted Charge Amount |
422800 |
Total Medical Medicare Allowed Amount |
330768.41 |
Total Medical Medicare Payment Amount |
252389.88 |
Total Medical Medicare Standardized Payment Amount |
238094.33 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
139 |
Number Of Beneficiaries Age 75 to 84 |
140 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
163 |
Number Of Non Hispanic White Beneficiaries |
235 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
146 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
217 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
210 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
26 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5893 |