| National Provider Identifier [NPI]: | 1700875416 |
| Last Name Of The Provider | HU |
| First Name Of The Provider | STEPHEN |
| 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 | 1125 E SOUTHERN AVE |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | MESA |
| Zip Code Of The Provider | 852045045 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 315 |
| Number Of Services | 15782 |
| Number Of Medicare Beneficiaries | 5756 |
| Total Submitted Charge Amount | 1411155.65 |
| Total Medicare Allowed Amount | 394328.45 |
| Total Medicare Payment Amount | 301615.38 |
| Total Medicare Standardized Payment Amount | 307168.32 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 6023 |
| Number Of Medicare Beneficiaries With Drug Services | 61 |
| Total Drug Submitted ChargeAmount | 12013 |
| Total Drug Medicare AllowedAmount | 1396.41 |
| Total Drug Medicare PaymentAmount | 1094.69 |
| Total Drug Medicare Standardized Payment Amount | 1094.69 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 313 |
| Number Of Medical Services | 9759 |
| Number Of Medicare Beneficiaries With Medical Services | 5756 |
| Total Medical Submitted Charge Amount | 1399142.65 |
| Total Medical Medicare Allowed Amount | 392932.04 |
| Total Medical Medicare Payment Amount | 300520.69 |
| Total Medical Medicare Standardized Payment Amount | 306073.63 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 632 |
| Number Of Beneficiaries Age 65 to 74 | 2094 |
| Number Of Beneficiaries Age 75 to 84 | 1914 |
| Number Of Beneficiaries Age Greater 84 | 1116 |
| Number Of Female Beneficiaries | 3082 |
| Number Of Male Beneficiaries | 2674 |
| Number Of Non Hispanic White Beneficiaries | 4987 |
| Number Of Black or African American Beneficiaries | 164 |
| Number Of AsianPacific Islander Beneficiaries | 59 |
| Number Of Hispanic Beneficiaries | 328 |
| Number Of American Indian Alaska Native Beneficiaries | 157 |
| Number Of Beneficiaries With Race Not Else where Classified | 61 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4936 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 820 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.9615 |