National Provider Identifier [NPI]: |
1235186990 |
Last Name Of The Provider |
CHOE |
First Name Of The Provider |
WU-JUNG |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1221 S SUNNYLANE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DEL CITY |
Zip Code Of The Provider |
731153011 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
16403 |
Number Of Medicare Beneficiaries |
671 |
Total Submitted Charge Amount |
495219.53 |
Total Medicare Allowed Amount |
407631.51 |
Total Medicare Payment Amount |
303097.37 |
Total Medicare Standardized Payment Amount |
337012.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1327 |
Number Of Medicare Beneficiaries With Drug Services |
385 |
Total Drug Submitted ChargeAmount |
13778 |
Total Drug Medicare AllowedAmount |
7789.31 |
Total Drug Medicare PaymentAmount |
6542.44 |
Total Drug Medicare Standardized Payment Amount |
6542.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
15076 |
Number Of Medicare Beneficiaries With Medical Services |
669 |
Total Medical Submitted Charge Amount |
481441.53 |
Total Medical Medicare Allowed Amount |
399842.2 |
Total Medical Medicare Payment Amount |
296554.93 |
Total Medical Medicare Standardized Payment Amount |
330470.31 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
276 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
369 |
Number Of Male Beneficiaries |
302 |
Number Of Non Hispanic White Beneficiaries |
533 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
36 |
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
21 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
623 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
2 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1911 |