| National Provider Identifier [NPI]: | 1417963661 |
| Last Name Of The Provider | WU |
| First Name Of The Provider | TAI |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 415 W VALLEY BLVD |
| Street Address 2 Of The Provider | C |
| City Of The Provider | SAN GABRIEL |
| Zip Code Of The Provider | 917763728 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 38 |
| Number Of Services | 17138 |
| Number Of Medicare Beneficiaries | 1086 |
| Total Submitted Charge Amount | 1224624 |
| Total Medicare Allowed Amount | 1004891.77 |
| Total Medicare Payment Amount | 756054.9 |
| Total Medicare Standardized Payment Amount | 701380.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 1224 |
| Number Of Medicare Beneficiaries With Drug Services | 601 |
| Total Drug Submitted ChargeAmount | 27040 |
| Total Drug Medicare AllowedAmount | 9889.4 |
| Total Drug Medicare PaymentAmount | 9644.56 |
| Total Drug Medicare Standardized Payment Amount | 9644.56 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 31 |
| Number Of Medical Services | 15914 |
| Number Of Medicare Beneficiaries With Medical Services | 1086 |
| Total Medical Submitted Charge Amount | 1197584 |
| Total Medical Medicare Allowed Amount | 995002.37 |
| Total Medical Medicare Payment Amount | 746410.34 |
| Total Medical Medicare Standardized Payment Amount | 691736.4 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 56 |
| Number Of Beneficiaries Age 65 to 74 | 355 |
| Number Of Beneficiaries Age 75 to 84 | 419 |
| Number Of Beneficiaries Age Greater 84 | 256 |
| Number Of Female Beneficiaries | 636 |
| Number Of Male Beneficiaries | 450 |
| Number Of Non Hispanic White Beneficiaries | |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 1022 |
| Number Of Hispanic Beneficiaries | 40 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 51 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1035 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 37 |
| Percent Of With Depression | 7 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 43 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 66 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6475 |