National Provider Identifier [NPI]: |
1275540114 |
Last Name Of The Provider |
HUANG |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12462 PUTNAM ST. |
Street Address 2 Of The Provider |
SUITE 506 |
City Of The Provider |
WHITTIER |
Zip Code Of The Provider |
906021002 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
3842 |
Number Of Medicare Beneficiaries |
779 |
Total Submitted Charge Amount |
642424.62 |
Total Medicare Allowed Amount |
368421.31 |
Total Medicare Payment Amount |
281708.32 |
Total Medicare Standardized Payment Amount |
264903.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
512 |
Number Of Medicare Beneficiaries With Drug Services |
114 |
Total Drug Submitted ChargeAmount |
17419 |
Total Drug Medicare AllowedAmount |
6952.08 |
Total Drug Medicare PaymentAmount |
5948.47 |
Total Drug Medicare Standardized Payment Amount |
5948.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
3330 |
Number Of Medicare Beneficiaries With Medical Services |
779 |
Total Medical Submitted Charge Amount |
625005.62 |
Total Medical Medicare Allowed Amount |
361469.23 |
Total Medical Medicare Payment Amount |
275759.85 |
Total Medical Medicare Standardized Payment Amount |
258955.5 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
187 |
Number Of Beneficiaries Age 75 to 84 |
235 |
Number Of Beneficiaries Age Greater 84 |
248 |
Number Of Female Beneficiaries |
438 |
Number Of Male Beneficiaries |
341 |
Number Of Non Hispanic White Beneficiaries |
443 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
276 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
522 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
257 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
65 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
3.1302 |