National Provider Identifier [NPI]: |
1902913825 |
Last Name Of The Provider |
LE |
First Name Of The Provider |
HUNG |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9798 BELLAIRE BLVD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770363427 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
4996 |
Number Of Medicare Beneficiaries |
795 |
Total Submitted Charge Amount |
877001.75 |
Total Medicare Allowed Amount |
581554.97 |
Total Medicare Payment Amount |
432359.71 |
Total Medicare Standardized Payment Amount |
447301.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
18 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
2283.25 |
Total Drug Medicare AllowedAmount |
806.81 |
Total Drug Medicare PaymentAmount |
632.54 |
Total Drug Medicare Standardized Payment Amount |
632.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
4978 |
Number Of Medicare Beneficiaries With Medical Services |
795 |
Total Medical Submitted Charge Amount |
874718.5 |
Total Medical Medicare Allowed Amount |
580748.16 |
Total Medical Medicare Payment Amount |
431727.17 |
Total Medical Medicare Standardized Payment Amount |
446669.15 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
376 |
Number Of Beneficiaries Age 75 to 84 |
315 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
468 |
Number Of Male Beneficiaries |
327 |
Number Of Non Hispanic White Beneficiaries |
23 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
716 |
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
128 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
667 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
6 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
25 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0675 |