National Provider Identifier [NPI]: |
1053374181 |
Last Name Of The Provider |
DAM |
First Name Of The Provider |
HUNG |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1601 KIRKWOOD HWY |
Street Address 2 Of The Provider |
DEPT. OF NUCLEAR MEDICINE |
City Of The Provider |
WILMINGTON |
Zip Code Of The Provider |
198054917 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nuclear Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
2916 |
Number Of Medicare Beneficiaries |
2660 |
Total Submitted Charge Amount |
816457.42 |
Total Medicare Allowed Amount |
151540.64 |
Total Medicare Payment Amount |
118030.99 |
Total Medicare Standardized Payment Amount |
116447.04 |
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 |
52 |
Number Of Medical Services |
2916 |
Number Of Medicare Beneficiaries With Medical Services |
2660 |
Total Medical Submitted Charge Amount |
816457.42 |
Total Medical Medicare Allowed Amount |
151540.64 |
Total Medical Medicare Payment Amount |
118030.99 |
Total Medical Medicare Standardized Payment Amount |
116447.04 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
427 |
Number Of Beneficiaries Age 65 to 74 |
1198 |
Number Of Beneficiaries Age 75 to 84 |
771 |
Number Of Beneficiaries Age Greater 84 |
264 |
Number Of Female Beneficiaries |
1704 |
Number Of Male Beneficiaries |
956 |
Number Of Non Hispanic White Beneficiaries |
1999 |
Number Of Black or African American Beneficiaries |
524 |
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
66 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2170 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
490 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7002 |