National Provider Identifier [NPI]: |
1225122880 |
Last Name Of The Provider |
CHO |
First Name Of The Provider |
KI |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2344 EL CAMINO REAL |
Street Address 2 Of The Provider |
105 |
City Of The Provider |
SANTA CLARA |
Zip Code Of The Provider |
95050 |
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 |
83 |
Number Of Services |
14603 |
Number Of Medicare Beneficiaries |
920 |
Total Submitted Charge Amount |
1381970 |
Total Medicare Allowed Amount |
1021454.81 |
Total Medicare Payment Amount |
801836.95 |
Total Medicare Standardized Payment Amount |
668237.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
2170 |
Number Of Medicare Beneficiaries With Drug Services |
631 |
Total Drug Submitted ChargeAmount |
31525 |
Total Drug Medicare AllowedAmount |
14726.97 |
Total Drug Medicare PaymentAmount |
13982.45 |
Total Drug Medicare Standardized Payment Amount |
13982.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
12433 |
Number Of Medicare Beneficiaries With Medical Services |
920 |
Total Medical Submitted Charge Amount |
1350445 |
Total Medical Medicare Allowed Amount |
1006727.84 |
Total Medical Medicare Payment Amount |
787854.5 |
Total Medical Medicare Standardized Payment Amount |
654254.71 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
418 |
Number Of Beneficiaries Age 75 to 84 |
342 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
558 |
Number Of Male Beneficiaries |
362 |
Number Of Non Hispanic White Beneficiaries |
50 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
793 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
43 |
Number Of Beneficiaries With Medicare Only Entitlement |
249 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
671 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
2 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
6 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
17 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0875 |