| National Provider Identifier [NPI]: | 1356469522 |
| Last Name Of The Provider | UNG |
| First Name Of The Provider | CHHEANY |
| Middle Initial Of The Provider | W |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3800 ELECTRIC RD |
| Street Address 2 Of The Provider | SUITE 307 |
| City Of The Provider | ROANOKE |
| Zip Code Of The Provider | 240184569 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Interventional Pain Management |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 73 |
| Number Of Services | 11858 |
| Number Of Medicare Beneficiaries | 617 |
| Total Submitted Charge Amount | 1995426.65 |
| Total Medicare Allowed Amount | 613984.45 |
| Total Medicare Payment Amount | 462354.6 |
| Total Medicare Standardized Payment Amount | 467050.68 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 11 |
| Number Of Drug Services | 8174 |
| Number Of Medicare Beneficiaries With Drug Services | 559 |
| Total Drug Submitted ChargeAmount | 242910 |
| Total Drug Medicare AllowedAmount | 17065.74 |
| Total Drug Medicare PaymentAmount | 12872.74 |
| Total Drug Medicare Standardized Payment Amount | 12872.74 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 62 |
| Number Of Medical Services | 3684 |
| Number Of Medicare Beneficiaries With Medical Services | 616 |
| Total Medical Submitted Charge Amount | 1752516.65 |
| Total Medical Medicare Allowed Amount | 596918.71 |
| Total Medical Medicare Payment Amount | 449481.86 |
| Total Medical Medicare Standardized Payment Amount | 454177.94 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 106 |
| Number Of Beneficiaries Age 65 to 74 | 265 |
| Number Of Beneficiaries Age 75 to 84 | 181 |
| Number Of Beneficiaries Age Greater 84 | 65 |
| Number Of Female Beneficiaries | 392 |
| Number Of Male Beneficiaries | 225 |
| Number Of Non Hispanic White Beneficiaries | 577 |
| Number Of Black or African American Beneficiaries | 29 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 553 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 64 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 5 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 17 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 31 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 75 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0206 |