| National Provider Identifier [NPI]: | 1215994827 |
| Last Name Of The Provider | FUNG |
| First Name Of The Provider | GORDON |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1600 DIVISADERO STREET |
| Street Address 2 Of The Provider | SUITE C-244 #1609 |
| City Of The Provider | SAN FRANCISCO |
| Zip Code Of The Provider | 941431609 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 37 |
| Number Of Services | 9936 |
| Number Of Medicare Beneficiaries | 5357 |
| Total Submitted Charge Amount | 908584 |
| Total Medicare Allowed Amount | 159997.37 |
| Total Medicare Payment Amount | 119838.9 |
| Total Medicare Standardized Payment Amount | 106687.24 |
| 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 | 37 |
| Number Of Medical Services | 9936 |
| Number Of Medicare Beneficiaries With Medical Services | 5357 |
| Total Medical Submitted Charge Amount | 908584 |
| Total Medical Medicare Allowed Amount | 159997.37 |
| Total Medical Medicare Payment Amount | 119838.9 |
| Total Medical Medicare Standardized Payment Amount | 106687.24 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1024 |
| Number Of Beneficiaries Age 65 to 74 | 2079 |
| Number Of Beneficiaries Age 75 to 84 | 1505 |
| Number Of Beneficiaries Age Greater 84 | 749 |
| Number Of Female Beneficiaries | 2594 |
| Number Of Male Beneficiaries | 2763 |
| Number Of Non Hispanic White Beneficiaries | 3100 |
| Number Of Black or African American Beneficiaries | 523 |
| Number Of AsianPacific Islander Beneficiaries | 1021 |
| Number Of Hispanic Beneficiaries | 501 |
| Number Of American Indian Alaska Native Beneficiaries | 20 |
| Number Of Beneficiaries With Race Not Else where Classified | 192 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3026 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2331 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 34 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.9471 |