National Provider Identifier [NPI]: |
1265482020 |
Last Name Of The Provider |
HUAN |
First Name Of The Provider |
ENG |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 JOSE FIGUERES AVE |
Street Address 2 Of The Provider |
SUITE 430 |
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
951161500 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
4240 |
Number Of Medicare Beneficiaries |
442 |
Total Submitted Charge Amount |
891870 |
Total Medicare Allowed Amount |
464986.41 |
Total Medicare Payment Amount |
363203.33 |
Total Medicare Standardized Payment Amount |
314436.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
87 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
4465 |
Total Drug Medicare AllowedAmount |
2023.67 |
Total Drug Medicare PaymentAmount |
1983.02 |
Total Drug Medicare Standardized Payment Amount |
1983.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
4153 |
Number Of Medicare Beneficiaries With Medical Services |
442 |
Total Medical Submitted Charge Amount |
887405 |
Total Medical Medicare Allowed Amount |
462962.74 |
Total Medical Medicare Payment Amount |
361220.31 |
Total Medical Medicare Standardized Payment Amount |
312453.97 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
124 |
Number Of Beneficiaries Age 75 to 84 |
161 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
234 |
Number Of Male Beneficiaries |
208 |
Number Of Non Hispanic White Beneficiaries |
51 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
282 |
Number Of Hispanic Beneficiaries |
93 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
81 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
361 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0049 |