National Provider Identifier [NPI]: |
1104925874 |
Last Name Of The Provider |
LEUNG |
First Name Of The Provider |
ANN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 PASTEUR DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
STANFORD |
Zip Code Of The Provider |
943052200 |
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 |
40 |
Number Of Services |
4746 |
Number Of Medicare Beneficiaries |
2386 |
Total Submitted Charge Amount |
551123 |
Total Medicare Allowed Amount |
99310.86 |
Total Medicare Payment Amount |
73456.53 |
Total Medicare Standardized Payment Amount |
65763.38 |
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 |
40 |
Number Of Medical Services |
4746 |
Number Of Medicare Beneficiaries With Medical Services |
2386 |
Total Medical Submitted Charge Amount |
551123 |
Total Medical Medicare Allowed Amount |
99310.86 |
Total Medical Medicare Payment Amount |
73456.53 |
Total Medical Medicare Standardized Payment Amount |
65763.38 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
409 |
Number Of Beneficiaries Age 65 to 74 |
960 |
Number Of Beneficiaries Age 75 to 84 |
665 |
Number Of Beneficiaries Age Greater 84 |
352 |
Number Of Female Beneficiaries |
1123 |
Number Of Male Beneficiaries |
1263 |
Number Of Non Hispanic White Beneficiaries |
1568 |
Number Of Black or African American Beneficiaries |
102 |
Number Of AsianPacific Islander Beneficiaries |
379 |
Number Of Hispanic Beneficiaries |
274 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1712 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
674 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.2025 |