| National Provider Identifier [NPI]: | 1124018551 |
| Last Name Of The Provider | CHU |
| First Name Of The Provider | WILLIAM |
| 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 | 14148 FRANCISQUITO AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | BALDWIN PARK |
| Zip Code Of The Provider | 917066120 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 143 |
| Number Of Services | 16203 |
| Number Of Medicare Beneficiaries | 2929 |
| Total Submitted Charge Amount | 1094549 |
| Total Medicare Allowed Amount | 348265.57 |
| Total Medicare Payment Amount | 262255.82 |
| Total Medicare Standardized Payment Amount | 252517.5 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 6120 |
| Number Of Medicare Beneficiaries With Drug Services | 60 |
| Total Drug Submitted ChargeAmount | 6120 |
| Total Drug Medicare AllowedAmount | 6120 |
| Total Drug Medicare PaymentAmount | 4798.08 |
| Total Drug Medicare Standardized Payment Amount | 4798.08 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 142 |
| Number Of Medical Services | 10083 |
| Number Of Medicare Beneficiaries With Medical Services | 2929 |
| Total Medical Submitted Charge Amount | 1088429 |
| Total Medical Medicare Allowed Amount | 342145.57 |
| Total Medical Medicare Payment Amount | 257457.74 |
| Total Medical Medicare Standardized Payment Amount | 247719.42 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 404 |
| Number Of Beneficiaries Age 65 to 74 | 1080 |
| Number Of Beneficiaries Age 75 to 84 | 956 |
| Number Of Beneficiaries Age Greater 84 | 489 |
| Number Of Female Beneficiaries | 1736 |
| Number Of Male Beneficiaries | 1193 |
| Number Of Non Hispanic White Beneficiaries | 582 |
| Number Of Black or African American Beneficiaries | 122 |
| Number Of AsianPacific Islander Beneficiaries | 1486 |
| Number Of Hispanic Beneficiaries | 676 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 283 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2646 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 38 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 7 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 45 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 54 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 28 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 59 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 27 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.2805 |