National Provider Identifier [NPI]: |
1699795757 |
Last Name Of The Provider |
LU |
First Name Of The Provider |
TOMMY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
525 N GARFIELD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONTEREY PARK |
Zip Code Of The Provider |
917541202 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
5 |
Number Of Services |
7607 |
Number Of Medicare Beneficiaries |
888 |
Total Submitted Charge Amount |
762160 |
Total Medicare Allowed Amount |
618201.14 |
Total Medicare Payment Amount |
483928.54 |
Total Medicare Standardized Payment Amount |
465219.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
5 |
Number Of Medical Services |
7607 |
Number Of Medicare Beneficiaries With Medical Services |
888 |
Total Medical Submitted Charge Amount |
762160 |
Total Medical Medicare Allowed Amount |
618201.14 |
Total Medical Medicare Payment Amount |
483928.54 |
Total Medical Medicare Standardized Payment Amount |
465219.65 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
159 |
Number Of Beneficiaries Age 75 to 84 |
280 |
Number Of Beneficiaries Age Greater 84 |
373 |
Number Of Female Beneficiaries |
494 |
Number Of Male Beneficiaries |
394 |
Number Of Non Hispanic White Beneficiaries |
129 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
531 |
Number Of Hispanic Beneficiaries |
188 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
129 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
759 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
63 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
64 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
61 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
70 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
26 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
3.7406 |