National Provider Identifier [NPI]: |
1750312658 |
Last Name Of The Provider |
HONG |
First Name Of The Provider |
SORAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 CRAWFORD ST |
Street Address 2 Of The Provider |
SUITE 1125 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770029000 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
1110 |
Number Of Medicare Beneficiaries |
338 |
Total Submitted Charge Amount |
197340 |
Total Medicare Allowed Amount |
80019.69 |
Total Medicare Payment Amount |
58982.98 |
Total Medicare Standardized Payment Amount |
59796.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
22 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
1110 |
Total Drug Medicare AllowedAmount |
383.4 |
Total Drug Medicare PaymentAmount |
375.69 |
Total Drug Medicare Standardized Payment Amount |
375.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
1088 |
Number Of Medicare Beneficiaries With Medical Services |
338 |
Total Medical Submitted Charge Amount |
196230 |
Total Medical Medicare Allowed Amount |
79636.29 |
Total Medical Medicare Payment Amount |
58607.29 |
Total Medical Medicare Standardized Payment Amount |
59421.15 |
Average Age Of Beneficiaries |
58 |
Number Of Beneficiaries Age Less65 |
220 |
Number Of Beneficiaries Age 65 to 74 |
65 |
Number Of Beneficiaries Age 75 to 84 |
36 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
176 |
Number Of Male Beneficiaries |
162 |
Number Of Non Hispanic White Beneficiaries |
120 |
Number Of Black or African American Beneficiaries |
188 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
116 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
222 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
66 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
61 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7947 |