National Provider Identifier [NPI]: |
1346670999 |
Last Name Of The Provider |
SUNG |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1130 N 185TH ST |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
SHORELINE |
Zip Code Of The Provider |
981334011 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
1660 |
Number Of Medicare Beneficiaries |
493 |
Total Submitted Charge Amount |
210920 |
Total Medicare Allowed Amount |
147016.55 |
Total Medicare Payment Amount |
114523.59 |
Total Medicare Standardized Payment Amount |
106928.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
189 |
Total Drug Medicare AllowedAmount |
3.9 |
Total Drug Medicare PaymentAmount |
3.09 |
Total Drug Medicare Standardized Payment Amount |
3.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1633 |
Number Of Medicare Beneficiaries With Medical Services |
493 |
Total Medical Submitted Charge Amount |
210731 |
Total Medical Medicare Allowed Amount |
147012.65 |
Total Medical Medicare Payment Amount |
114520.5 |
Total Medical Medicare Standardized Payment Amount |
106924.98 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
106 |
Number Of Beneficiaries Age 75 to 84 |
151 |
Number Of Beneficiaries Age Greater 84 |
169 |
Number Of Female Beneficiaries |
317 |
Number Of Male Beneficiaries |
176 |
Number Of Non Hispanic White Beneficiaries |
291 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
159 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
186 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
307 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
40 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.6892 |