National Provider Identifier [NPI]: |
1245486729 |
Last Name Of The Provider |
KUO |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3800 RESERVOIR RD NW |
Street Address 2 Of The Provider |
|
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200072113 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
208 |
Number Of Services |
5363 |
Number Of Medicare Beneficiaries |
2639 |
Total Submitted Charge Amount |
516835 |
Total Medicare Allowed Amount |
170298.23 |
Total Medicare Payment Amount |
130140.87 |
Total Medicare Standardized Payment Amount |
129940.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
208 |
Number Of Medical Services |
5363 |
Number Of Medicare Beneficiaries With Medical Services |
2639 |
Total Medical Submitted Charge Amount |
516835 |
Total Medical Medicare Allowed Amount |
170298.23 |
Total Medical Medicare Payment Amount |
130140.87 |
Total Medical Medicare Standardized Payment Amount |
129940.34 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
461 |
Number Of Beneficiaries Age 65 to 74 |
963 |
Number Of Beneficiaries Age 75 to 84 |
792 |
Number Of Beneficiaries Age Greater 84 |
423 |
Number Of Female Beneficiaries |
1562 |
Number Of Male Beneficiaries |
1077 |
Number Of Non Hispanic White Beneficiaries |
2013 |
Number Of Black or African American Beneficiaries |
553 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1979 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
660 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7907 |