| National Provider Identifier [NPI]: | 1164499240 |
| Last Name Of The Provider | CHANG |
| First Name Of The Provider | SU |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6550 FANNIN ST |
| Street Address 2 Of The Provider | SUITE 1901 |
| City Of The Provider | HOUSTON |
| Zip Code Of The Provider | 770302717 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 47 |
| Number Of Services | 13946 |
| Number Of Medicare Beneficiaries | 6393 |
| Total Submitted Charge Amount | 2155736.4 |
| Total Medicare Allowed Amount | 318985.88 |
| Total Medicare Payment Amount | 236854.39 |
| Total Medicare Standardized Payment Amount | 240014.82 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 292 |
| Number Of Medicare Beneficiaries With Drug Services | 82 |
| Total Drug Submitted ChargeAmount | 59934 |
| Total Drug Medicare AllowedAmount | 15187.23 |
| Total Drug Medicare PaymentAmount | 11658.12 |
| Total Drug Medicare Standardized Payment Amount | 11658.12 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 43 |
| Number Of Medical Services | 13654 |
| Number Of Medicare Beneficiaries With Medical Services | 6393 |
| Total Medical Submitted Charge Amount | 2095802.4 |
| Total Medical Medicare Allowed Amount | 303798.65 |
| Total Medical Medicare Payment Amount | 225196.27 |
| Total Medical Medicare Standardized Payment Amount | 228356.7 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 1152 |
| Number Of Beneficiaries Age 65 to 74 | 2291 |
| Number Of Beneficiaries Age 75 to 84 | 1844 |
| Number Of Beneficiaries Age Greater 84 | 1106 |
| Number Of Female Beneficiaries | 3433 |
| Number Of Male Beneficiaries | 2960 |
| Number Of Non Hispanic White Beneficiaries | 4229 |
| Number Of Black or African American Beneficiaries | 1160 |
| Number Of AsianPacific Islander Beneficiaries | 185 |
| Number Of Hispanic Beneficiaries | 744 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 5033 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1360 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 48 |
| Percent Of With Chronic Kidney Disease | 49 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 65 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 2.4519 |